Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $338.92 / $375.96	Facility		$185.20	$338.92	$375.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.31 / $338.92 / $375.96	Professional		$146.31	$338.92	$375.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $79.20 / $79.20	Facility		$79.20	$79.20	$79.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $79.20 / $79.20	Professional		$79.20	$79.20	$79.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.38 / $120.38 / $126.40	Facility		$120.38	$120.38	$126.40
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 Facility Modifier Low / Median / High Price $185.20 / $185.20 / $185.20	Facility		$185.20	$185.20	$185.20
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $316.13	Professional		$77.78	$111.12	$316.13