Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $39.81 / $39.81	Facility		$34.67	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $52.48	Professional		$30.20	$45.71	$52.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $42.66 / $67.61	Professional		$21.38	$42.66	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $218.78 / $338.84	Facility		$93.33	$218.78	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $57.54 / $89.13	Professional		$44.67	$57.54	$89.13