Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $103.08 / $167.33	Professional		$76.19	$103.08	$167.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $15.93 / $15.93	Professional		$15.47	$15.93	$15.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $147.81	Facility		$110.00	$110.00	$147.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $131.00 / $234.38	Professional		$93.50	$131.00	$234.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $100.00 / $200.00	Professional		$21.24	$100.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $23.90 / $198.36	Professional		$17.93	$23.90	$198.36
United Facility/Professional Professional Modifier Low / Median / High Price $67.44 / $111.96 / $184.34	Professional		$67.44	$111.96	$184.34