Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.86 / $98.61 / $140.87	Professional		$63.86	$98.61	$140.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $98.45 / $176.31	Facility		$98.45	$98.45	$176.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $98.45 / $232.50	Professional		$83.68	$98.45	$232.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $16.03 / $100.00	Professional		$13.63	$16.03	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $65.19 / $126.39	Facility		$10.64	$65.19	$126.39
United Facility/Professional Professional Modifier Low / Median / High Price $66.52 / $93.91 / $167.79	Professional		$66.52	$93.91	$167.79