Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.03 / $288.86 / $459.02	Professional		$202.03	$288.86	$459.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $54.62 / $54.62	Professional		$54.62	$54.62	$54.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.44 / $299.44 / $633.73	Facility		$299.44	$299.44	$633.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.52 / $308.42 / $526.88	Professional		$254.52	$308.42	$526.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $45.90 / $100.00	Professional		$39.02	$45.90	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $525.98 / $525.98 / $525.98	Professional		$525.98	$525.98	$525.98
United Facility/Professional Professional Modifier Low / Median / High Price $235.28 / $344.71 / $503.12	Professional		$235.28	$344.71	$503.12