Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $58.75	Facility		$23.99	$23.99	$58.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $35.31 / $58.75	Professional		$23.99	$35.31	$58.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.18 / $262.18 / $262.18	Facility		$262.18	$262.18	$262.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $33.00 / $33.00	Professional		$33.00	$33.00	$33.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $516.98 / $516.98 / $516.98	Facility		$516.98	$516.98	$516.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.43 / $47.81 / $69.63	Professional		$31.43	$47.81	$69.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $25.00 / $50.00	Professional		$17.00	$25.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $529.00 / $1,739.00	Facility		$225.00	$529.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.95 / $37.47 / $71.28	Professional		$27.95	$37.47	$71.28