Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $103.46 / $163.16	Professional		$63.57	$103.46	$163.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $12.87 / $12.87	Professional		$12.87	$12.87	$12.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $115.90 / $217.46	Facility		$115.90	$115.90	$217.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $119.38 / $192.00	Professional		$98.52	$119.38	$192.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.59 / $17.16 / $25.74	Professional		$14.59	$17.16	$25.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.58 / $147.58 / $147.58	Professional		$147.58	$147.58	$147.58
United Facility/Professional Professional Modifier Low / Median / High Price $83.39 / $96.82 / $166.39	Professional		$83.39	$96.82	$166.39