Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.93 / $647.52 / $893.52	Professional		$366.93	$647.52	$893.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.25 / $85.04 / $85.04	Professional		$61.25	$85.04	$85.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.20 / $428.20 / $937.73	Facility		$428.20	$428.20	$937.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $428.20 / $1,117.50	Professional		$84.14	$428.20	$1,117.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $136.44 / $200.00	Professional		$100.00	$136.44	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.56 / $127.56 / $170.09	Professional		$127.56	$127.56	$170.09
United Facility/Professional Professional Modifier Low / Median / High Price $349.63 / $474.51 / $782.52	Professional		$349.63	$474.51	$782.52