Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.29 / $154.18 / $249.37	Professional		$99.29	$154.18	$249.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $19.07 / $19.07	Professional		$19.07	$19.07	$19.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.31 / $166.31 / $328.88	Facility		$166.31	$166.31	$328.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.36 / $171.30 / $295.13	Professional		$141.36	$171.30	$295.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $25.44 / $56.33	Professional		$21.62	$25.44	$56.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $258.50 / $258.50 / $258.50	Professional		$258.50	$258.50	$258.50
United Facility/Professional Professional Modifier Low / Median / High Price $127.66 / $156.66 / $260.88	Professional		$127.66	$156.66	$260.88