Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $446.68	Professional		$234.42	$275.42	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $549.54	Facility		$331.13	$331.13	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $549.54	Professional		$281.84	$331.13	$549.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $67.61	Professional		$38.02	$47.86	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $190.55 / $398.11	Facility		$20.89	$190.55	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $416.87	Professional		$199.53	$263.03	$416.87