Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.85 / $257.02 / $416.66	Professional		$166.85	$257.02	$416.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $32.11 / $32.11	Professional		$31.70	$32.11	$32.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.51 / $277.51 / $552.40	Facility		$277.51	$277.51	$552.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.88 / $285.83 / $492.00	Professional		$235.88	$285.83	$492.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $42.26 / $79.17	Professional		$35.92	$42.26	$79.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $434.87 / $434.87 / $434.87	Professional		$434.87	$434.87	$434.87
United Facility/Professional Professional Modifier Low / Median / High Price $181.67 / $260.52 / $464.38	Professional		$181.67	$260.52	$464.38