Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $87.10 / $204.17	Facility		$30.20	$87.10	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.92 / $46.77	Professional		$15.85	$26.92	$46.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $229.09	Facility		$48.98	$48.98	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $31.62 / $60.26	Professional		$17.38	$31.62	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
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 $15.14 / $30.20 / $58.88	Professional		$15.14	$30.20	$58.88