Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $281.84 / $457.09	Professional		$245.47	$281.84	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $562.34	Facility		$309.03	$309.03	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $575.44	Professional		$263.03	$309.03	$575.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $75.86	Professional		$39.81	$50.12	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $158.49 / $380.19	Facility		$17.78	$158.49	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $416.87	Professional		$177.83	$251.19	$416.87