Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $549.54 / $616.60	Facility		$302.00	$549.54	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $245.47 / $549.54	Professional		$223.87	$245.47	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $204.17	Facility		$194.98	$194.98	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $363.08	Facility		$269.15	$269.15	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $676.08	Professional		$125.89	$181.97	$676.08