Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $288.40 / $316.23	Facility		$158.49	$288.40	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $181.97	Professional		$104.71	$123.03	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $107.15	Facility		$102.33	$102.33	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $42.66	Professional		$16.98	$21.38	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $186.21	Facility		$141.25	$141.25	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $346.74	Professional		$66.07	$93.33	$346.74