Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $99.44 / $157.91	Professional		$62.47	$99.44	$157.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $12.94 / $22.41	Professional		$12.94	$12.94	$22.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.53 / $70.53 / $186.22	Facility		$70.53	$70.53	$186.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $70.53 / $189.38	Professional		$51.49	$70.53	$189.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $16.73 / $25.11	Professional		$14.23	$16.73	$25.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.04 / $140.04 / $140.04	Professional		$140.04	$140.04	$140.04
United Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $91.87 / $167.40	Professional		$67.48	$91.87	$167.40