Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.96 / $254.04 / $350.55	Professional		$143.96	$254.04	$350.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $33.36 / $33.36	Professional		$33.36	$33.36	$33.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.92 / $219.78 / $432.97	Facility		$38.92	$219.78	$432.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.81 / $219.78 / $646.88	Professional		$186.81	$219.78	$646.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.49 / $100.00 / $200.00	Professional		$44.49	$100.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $66.73 / $305.87	Professional		$50.06	$66.73	$305.87
United Facility/Professional Professional Modifier Low / Median / High Price $163.30 / $228.58 / $400.11	Professional		$163.30	$228.58	$400.11