Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.02 / $93.97 / $143.28	Professional		$56.02	$93.97	$143.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $100.30 / $190.49	Facility		$100.30	$100.30	$190.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $100.30 / $172.13	Professional		$85.26	$100.30	$172.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $16.00 / $24.00	Professional		$13.60	$16.00	$24.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $24.00 / $145.84	Professional		$18.00	$24.00	$145.84
United Facility/Professional Professional Modifier Low / Median / High Price $63.04 / $90.20 / $164.44	Professional		$63.04	$90.20	$164.44