Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.10 / $650.88 / $867.84	Professional		$349.10	$650.88	$867.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $85.48 / $85.48	Professional		$53.42	$85.48	$85.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.00 / $134.00 / $942.62	Facility		$134.00	$134.00	$942.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.90 / $134.00 / $1,241.25	Professional		$113.90	$134.00	$1,241.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $133.26 / $200.00	Professional		$100.00	$133.26	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.22 / $128.22 / $170.96	Professional		$128.22	$128.22	$170.96
United Facility/Professional Professional Modifier Low / Median / High Price $369.73 / $479.63 / $1,168.58	Professional		$369.73	$479.63	$1,168.58