Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $354.81	Professional		$190.55	$218.78	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $446.68	Facility		$269.15	$269.15	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $446.68	Professional		$229.09	$269.15	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $53.70	Professional		$30.90	$38.90	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $147.91 / $316.23	Facility		$16.22	$147.91	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $338.84	Professional		$158.49	$208.93	$338.84