Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.40 / $192.47 / $306.75	Professional		$128.40	$192.47	$306.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $23.77 / $23.77	Professional		$23.45	$23.77	$23.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.05 / $204.05 / $414.24	Facility		$204.05	$204.05	$414.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.44 / $244.85 / $437.34	Professional		$173.44	$244.85	$437.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $31.27 / $61.99	Professional		$26.58	$31.27	$61.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $334.28 / $334.28 / $334.28	Professional		$334.28	$334.28	$334.28
United Facility/Professional Facility Modifier Low / Median / High Price $15.57 / $138.94 / $219.99	Facility		$15.57	$138.94	$219.99
United Facility/Professional Professional Modifier Low / Median / High Price $139.80 / $219.07 / $347.76	Professional		$139.80	$219.07	$347.76