Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.85 / $379.14 / $523.16	Professional		$214.85	$379.14	$523.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $49.79 / $49.79	Professional		$35.86	$49.79	$49.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.81 / $407.81 / $549.13	Facility		$407.81	$407.81	$549.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.27 / $407.81 / $652.50	Professional		$49.27	$407.81	$652.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.14 / $100.00 / $200.00	Professional		$83.14	$100.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.69 / $74.69 / $99.59	Professional		$74.69	$74.69	$99.59
United Facility/Professional Professional Modifier Low / Median / High Price $215.38 / $279.33 / $458.01	Professional		$215.38	$279.33	$458.01