Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $321.18 / $498.10	Professional		$182.00	$321.18	$498.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.44 / $50.44 / $50.44	Professional		$50.44	$50.44	$50.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.36 / $279.36 / $565.11	Facility		$279.36	$279.36	$565.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.46 / $279.36 / $648.75	Professional		$237.46	$279.36	$648.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $100.00 / $200.00	Professional		$57.26	$100.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.05 / $84.06 / $402.04	Professional		$63.05	$84.06	$402.04
United Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $301.60 / $499.23	Professional		$232.00	$301.60	$499.23