Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.83 / $191.16 / $297.44	Professional		$115.83	$191.16	$297.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $24.48 / $24.48	Professional		$24.48	$24.48	$24.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.43 / $244.43 / $345.28	Facility		$244.43	$244.43	$345.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.43 / $244.43 / $448.59	Professional		$178.43	$244.43	$448.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $32.64 / $48.96	Professional		$27.74	$32.64	$48.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $259.66 / $259.66 / $259.66	Professional		$259.66	$259.66	$259.66
United Facility/Professional Professional Modifier Low / Median / High Price $127.03 / $170.34 / $254.06	Professional		$127.03	$170.34	$254.06