Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $93.33 / $151.36	Professional		$81.28	$93.33	$151.36
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 $97.72 / $97.72 / $177.83	Facility		$97.72	$97.72	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $186.21	Professional		$83.18	$97.72	$186.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $23.99	Professional		$12.88	$15.85	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $64.57 / $131.83	Facility		$7.24	$64.57	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $154.88	Professional		$66.07	$93.33	$154.88