Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $128.82	Facility		$66.07	$66.07	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $131.83	Professional		$66.07	$87.10	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $263.03 / $338.84	Facility		$33.88	$263.03	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $42.66 / $67.61	Professional		$21.38	$42.66	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $912.01 / $1,380.38	Facility		$416.87	$912.01	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $251.19	Professional		$64.57	$100.00	$251.19