Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.06 / $49.13 / $105.34	Facility		$29.06	$49.13	$105.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $49.16 / $105.34	Professional		$28.59	$49.16	$105.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.56 / $42.56 / $42.56	Facility		$42.56	$42.56	$42.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $109.00 / $109.00	Professional		$109.00	$109.00	$109.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.07 / $91.07 / $91.07	Facility		$91.07	$91.07	$91.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $64.19 / $103.20	Professional		$38.72	$64.19	$103.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $513.00 / $1,739.00	Facility		$225.00	$513.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.99 / $56.88 / $125.44	Professional		$41.99	$56.88	$125.44