Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.56 / $357.46 / $548.09	Professional		$202.56	$357.46	$548.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.94 / $46.94 / $46.94	Professional		$46.94	$46.94	$46.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.90 / $353.90 / $688.52	Facility		$353.90	$353.90	$688.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.82 / $500.74 / $907.03	Professional		$300.82	$500.74	$907.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $62.59 / $93.89	Professional		$56.33	$62.59	$93.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $430.22 / $430.22 / $430.22	Professional		$430.22	$430.22	$430.22
United Facility/Professional Professional Modifier Low / Median / High Price $221.19 / $302.52 / $663.57	Professional		$221.19	$302.52	$663.57