Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $79.13 / $125.55	Professional		$55.52	$79.13	$125.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $9.42 / $9.42	Professional		$9.42	$9.42	$9.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.17 / $81.17 / $171.45	Facility		$81.17	$81.17	$171.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $81.17 / $144.38	Professional		$68.98	$81.17	$144.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $12.56 / $18.84	Professional		$10.68	$12.56	$18.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.84 / $144.55	Professional		$14.13	$18.84	$144.55
United Facility/Professional Professional Modifier Low / Median / High Price $60.45 / $86.36 / $160.96	Professional		$60.45	$86.36	$160.96