Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.32 / $238.80 / $334.56	Professional		$135.32	$238.80	$334.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $31.37 / $31.37	Professional		$31.37	$31.37	$31.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.34 / $240.34 / $406.87	Facility		$240.34	$240.34	$406.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $240.34 / $483.75	Professional		$36.46	$240.34	$483.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $100.00 / $200.00	Professional		$41.82	$100.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $62.73 / $287.33	Professional		$47.06	$62.73	$287.33
United Facility/Professional Professional Modifier Low / Median / High Price $163.36 / $212.10 / $357.20	Professional		$163.36	$212.10	$357.20