Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.64 / $338.66 / $513.33	Professional		$200.64	$338.66	$513.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $43.92 / $43.92	Professional		$43.34	$43.92	$43.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.71 / $358.71 / $687.28	Facility		$358.71	$358.71	$687.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.89 / $358.71 / $612.38	Professional		$304.89	$358.71	$612.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.12 / $57.79 / $95.20	Professional		$49.12	$57.79	$95.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $522.36 / $522.36 / $522.36	Professional		$522.36	$522.36	$522.36
United Facility/Professional Facility Modifier Low / Median / High Price $32.95 / $243.34 / $433.45	Facility		$32.95	$243.34	$433.45
United Facility/Professional Professional Modifier Low / Median / High Price $225.02 / $315.02 / $588.91	Professional		$225.02	$315.02	$588.91