Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.65 / $66.65 / $163.27	Facility		$66.65	$66.65	$163.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.65 / $98.11 / $163.27	Professional		$66.65	$98.11	$163.27
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 $93.00 / $93.00 / $93.00	Professional		$93.00	$93.00	$93.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,092.39 / $1,092.39 / $1,092.39	Facility		$1,092.39	$1,092.39	$1,092.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $129.77 / $169.95	Professional		$89.18	$129.77	$169.95
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 $77.45 / $111.58 / $184.72	Professional		$77.45	$111.58	$184.72