Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $169.82	Professional		$85.11	$109.65	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $229.09	Facility		$114.82	$114.82	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $204.17	Professional		$97.72	$114.82	$204.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.20 / $27.54	Professional		$14.79	$18.20	$27.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $74.13 / $144.54	Facility		$9.12	$74.13	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $117.49 / $169.82	Professional		$75.86	$117.49	$169.82