Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.65 / $120.46 / $185.70	Professional		$73.65	$120.46	$185.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $15.38 / $15.38	Professional		$15.38	$15.38	$15.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.15 / $83.15 / $219.55	Facility		$83.15	$83.15	$219.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.70 / $83.15 / $228.75	Professional		$60.70	$83.15	$228.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.43 / $20.50 / $30.75	Professional		$17.43	$20.50	$30.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.11 / $165.11 / $165.11	Professional		$165.11	$165.11	$165.11
United Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $109.18 / $174.72	Professional		$81.02	$109.18	$174.72