Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.63 / $531.22 / $786.96	Professional		$459.63	$531.22	$786.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $56.18 / $63.31	Professional		$56.18	$56.18	$63.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $612.00 / $647.66	Facility		$612.00	$612.00	$647.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.77 / $612.00 / $817.50	Professional		$69.77	$612.00	$817.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $116.35 / $219.47	Professional		$100.00	$116.35	$219.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.27 / $97.65 / $976.48	Professional		$84.27	$97.65	$976.48
United Facility/Professional Professional Modifier Low / Median / High Price $323.08 / $405.56 / $743.05	Professional		$323.08	$405.56	$743.05