Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $350.10 / $487.12	Professional		$198.39	$350.10	$487.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $45.67 / $45.67	Professional		$45.67	$45.67	$45.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.73 / $283.73 / $614.04	Facility		$283.73	$283.73	$614.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.17 / $283.73 / $705.00	Professional		$241.17	$283.73	$705.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.61 / $100.00 / $200.00	Professional		$62.61	$100.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.51 / $91.34 / $442.02	Professional		$68.51	$91.34	$442.02
United Facility/Professional Professional Modifier Low / Median / High Price $236.44 / $322.19 / $587.41	Professional		$236.44	$322.19	$587.41