Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $69.18 / $102.33	Facility		$60.26	$69.18	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $104.71	Professional		$57.54	$69.18	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $331.13	Facility		$302.00	$302.00	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $204.17 / $588.84	Facility		$95.50	$204.17	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $102.33 / $186.21	Professional		$53.70	$102.33	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $36.31	Professional		$32.36	$33.11	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $467.74 / $478.63	Facility		$173.78	$467.74	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $186.21	Professional		$61.66	$85.11	$186.21