Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.50 / $498.78 / $658.24	Professional		$267.50	$498.78	$658.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $65.51 / $65.51	Professional		$40.93	$65.51	$65.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $232.12 / $722.38	Facility		$232.12	$232.12	$722.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $232.12 / $911.25	Professional		$64.81	$232.12	$911.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.48 / $100.00 / $200.00	Professional		$95.48	$100.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $98.27 / $131.01	Professional		$98.27	$98.27	$131.01
United Facility/Professional Professional Modifier Low / Median / High Price $283.30 / $367.46 / $581.00	Professional		$283.30	$367.46	$581.00