Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $123.30 / $196.43	Professional		$76.31	$123.30	$196.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $15.66 / $15.66	Professional		$15.20	$15.66	$15.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $130.68 / $248.36	Facility		$130.68	$130.68	$248.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $134.60 / $241.50	Professional		$111.08	$134.60	$241.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $20.88 / $31.32	Professional		$17.75	$20.88	$31.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.49 / $31.32 / $171.07	Professional		$23.49	$31.32	$171.07
United Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $112.22 / $201.02	Professional		$80.53	$112.22	$201.02