Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.07 / $294.24 / $389.84	Professional		$178.07	$294.24	$389.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $36.09 / $36.09	Professional		$36.09	$36.09	$36.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.50 / $256.50 / $386.04	Facility		$256.50	$256.50	$386.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.03 / $256.50 / $543.75	Professional		$218.03	$256.50	$543.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.29 / $100.00 / $200.00	Professional		$56.29	$100.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $54.14 / $434.07	Professional		$43.41	$54.14	$434.07
United Facility/Professional Professional Modifier Low / Median / High Price $166.15 / $223.34 / $349.59	Professional		$166.15	$223.34	$349.59