Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.06 / $255.66 / $358.16	Professional		$137.06	$255.66	$358.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.82 / $35.82 / $35.82	Professional		$35.82	$35.82	$35.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.52 / $209.52 / $370.33	Facility		$209.52	$209.52	$370.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.09 / $209.52 / $517.50	Professional		$178.09	$209.52	$517.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $200.00	Professional		$100.00	$100.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $67.16 / $307.56	Professional		$50.37	$67.16	$307.56
United Facility/Professional Professional Modifier Low / Median / High Price $158.25 / $223.38 / $372.30	Professional		$158.25	$223.38	$372.30