Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $74.13 / $74.13	Facility		$64.57	$74.13	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $91.20	Professional		$52.48	$79.43	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $575.44	Facility		$478.63	$478.63	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
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 $251.19 / $676.08 / $707.95	Facility		$251.19	$676.08	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $169.82	Professional		$66.07	$93.33	$169.82