Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.69 / $64.62 / $117.91	Facility		$53.69	$64.62	$117.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $85.80 / $117.91	Professional		$47.99	$85.80	$117.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.59 / $158.59 / $174.45	Facility		$158.59	$158.59	$174.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $69.00 / $69.00	Professional		$69.00	$69.00	$69.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.81 / $165.23 / $474.33	Facility		$34.81	$165.23	$474.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.63 / $70.58 / $105.06	Professional		$42.63	$70.58	$105.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $32.34 / $47.05	Professional		$14.27	$32.34	$47.05
United Facility/Professional Facility Modifier Low / Median / High Price $772.62 / $772.62 / $772.62	Facility		$772.62	$772.62	$772.62
United Facility/Professional Professional Modifier Low / Median / High Price $39.34 / $61.20 / $95.50	Professional		$39.34	$61.20	$95.50