Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.98 / $322.80 / $430.40	Professional		$198.98	$322.80	$430.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $39.26 / $39.26	Professional		$35.04	$39.26	$39.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.27 / $382.81 / $382.81	Facility		$326.27	$382.81	$382.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.07 / $382.81 / $611.25	Professional		$276.07	$382.81	$611.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.32 / $100.00 / $200.00	Professional		$63.32	$100.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $58.89 / $78.51	Professional		$58.89	$58.89	$78.51
United Facility/Professional Professional Modifier Low / Median / High Price $196.40 / $237.52 / $395.86	Professional		$196.40	$237.52	$395.86