Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.13 / $14.13	Facility		$12.02	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $245.47	Professional		$12.02	$16.98	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $234.42	Facility		$204.17	$204.17	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
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 $218.78 / $537.03 / $1,621.81	Facility		$218.78	$537.03	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.78 / $25.70	Professional		$13.80	$17.78	$25.70