Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $106.27 / $173.85	Professional		$69.50	$106.27	$173.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $13.07 / $13.07	Professional		$13.07	$13.07	$13.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.51 / $115.51 / $229.30	Facility		$115.51	$115.51	$229.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $118.98 / $205.50	Professional		$98.18	$118.98	$205.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $17.42 / $55.23	Professional		$14.81	$17.42	$55.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.94 / $180.94 / $180.94	Professional		$180.94	$180.94	$180.94
United Facility/Professional Professional Modifier Low / Median / High Price $77.40 / $118.58 / $203.99	Professional		$77.40	$118.58	$203.99