Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $300.05 / $332.84	Facility		$163.96	$300.05	$332.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.53 / $300.05 / $332.84	Professional		$129.53	$300.05	$332.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.42 / $202.42 / $202.42	Facility		$202.42	$202.42	$202.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.42 / $202.42 / $202.42	Professional		$202.42	$202.42	$202.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.57 / $111.90 / $124.37	Facility		$106.57	$111.90	$124.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $101.21 / $310.98	Professional		$68.86	$101.21	$310.98