Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.01 / $334.05 / $525.03	Professional		$212.01	$334.05	$525.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $41.60 / $41.60	Professional		$41.60	$41.60	$41.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.55 / $354.55 / $701.66	Facility		$354.55	$354.55	$701.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.37 / $365.19 / $617.63	Professional		$301.37	$365.19	$617.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $55.46 / $95.85	Professional		$47.14	$55.46	$95.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $551.97 / $551.97 / $551.97	Professional		$551.97	$551.97	$551.97
United Facility/Professional Professional Modifier Low / Median / High Price $230.84 / $330.89 / $602.47	Professional		$230.84	$330.89	$602.47