Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.15 / $275.56 / $429.16	Professional		$156.15	$275.56	$429.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $35.90 / $35.90	Professional		$35.90	$35.90	$35.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $542.63	Facility		$333.25	$333.25	$542.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $333.25 / $555.00	Professional		$283.26	$333.25	$555.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.08 / $47.87 / $71.81	Professional		$43.08	$47.87	$71.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $404.65 / $404.65 / $404.65	Professional		$404.65	$404.65	$404.65
United Facility/Professional Professional Modifier Low / Median / High Price $199.06 / $248.96 / $430.12	Professional		$199.06	$248.96	$430.12