Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.48 / $106.96 / $167.95	Facility		$76.48	$106.96	$167.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.40 / $122.21 / $167.95	Professional		$70.40	$122.21	$167.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.36 / $302.36 / $332.60	Facility		$302.36	$302.36	$332.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.80 / $151.88 / $275.00	Facility		$56.80	$151.88	$275.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.05 / $87.44 / $130.63	Professional		$59.05	$87.44	$130.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $32.34 / $63.32	Professional		$12.74	$32.34	$63.32
United Facility/Professional Facility Modifier Low / Median / High Price $285.68 / $285.68 / $285.68	Facility		$285.68	$285.68	$285.68
United Facility/Professional Professional Modifier Low / Median / High Price $49.78 / $82.79 / $118.31	Professional		$49.78	$82.79	$118.31