Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $186.21	Professional		$100.00	$123.03	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.49 / $15.49	Professional		$15.14	$15.49	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $257.04	Facility		$131.83	$131.83	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $239.88	Professional		$112.20	$131.83	$239.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.89 / $29.51	Professional		$16.60	$20.89	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $77.62 / $162.18	Facility		$8.71	$77.62	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $186.21	Professional		$81.28	$112.20	$186.21