Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.28 / $217.55 / $338.28	Professional		$123.28	$217.55	$338.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $35.20 / $35.20	Professional		$35.20	$35.20	$35.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $263.45 / $427.72	Facility		$263.45	$263.45	$427.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.93 / $302.82 / $548.44	Professional		$223.93	$302.82	$548.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $37.85 / $56.78	Professional		$34.07	$37.85	$56.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $318.01 / $318.01 / $318.01	Professional		$318.01	$318.01	$318.01
United Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $196.18 / $339.03	Professional		$147.00	$196.18	$339.03