Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.01 / $220.61 / $342.36	Professional		$125.01	$220.61	$342.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $28.85 / $28.85	Professional		$28.85	$28.85	$28.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.62 / $267.62 / $432.91	Facility		$267.62	$267.62	$432.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.48 / $275.64 / $445.88	Professional		$227.48	$275.64	$445.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $38.47 / $57.71	Professional		$34.61	$38.47	$57.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $320.62 / $320.62 / $320.62	Professional		$320.62	$320.62	$320.62
United Facility/Professional Professional Modifier Low / Median / High Price $159.36 / $198.48 / $398.40	Professional		$159.36	$198.48	$398.40