Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.61 / $109.63 / $180.03	Professional		$68.61	$109.63	$180.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $17.76 / $17.76	Professional		$17.76	$17.76	$17.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $114.47 / $225.49	Facility		$114.47	$114.47	$225.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $117.90 / $202.50	Professional		$97.30	$117.90	$202.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $18.30 / $32.03	Professional		$15.56	$18.30	$32.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $27.47 / $178.62	Professional		$20.60	$27.47	$178.62
United Facility/Professional Professional Modifier Low / Median / High Price $74.63 / $106.84 / $198.05	Professional		$74.63	$106.84	$198.05