Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $83.83 / $129.35	Professional		$48.44	$83.83	$129.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $10.83 / $10.97	Professional		$10.83	$10.83	$10.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.16 / $88.16 / $167.51	Facility		$88.16	$88.16	$167.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $88.16 / $157.13	Professional		$74.94	$88.16	$157.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $14.44 / $23.00	Professional		$12.27	$14.44	$23.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.11 / $126.11 / $126.11	Professional		$126.11	$126.11	$126.11
United Facility/Professional Professional Modifier Low / Median / High Price $54.88 / $77.15 / $151.38	Professional		$54.88	$77.15	$151.38