Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.73 / $327.02 / $497.68	Professional		$186.73	$327.02	$497.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.55 / $353.55 / $685.72	Facility		$353.55	$353.55	$685.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.52 / $364.16 / $645.00	Professional		$300.52	$364.16	$645.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.59 / $54.81 / $82.95	Professional		$46.59	$54.81	$82.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $455.19 / $455.19 / $455.19	Professional		$455.19	$455.19	$455.19
United Facility/Professional Professional Modifier Low / Median / High Price $212.71 / $298.61 / $513.17	Professional		$212.71	$298.61	$513.17