Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $89.13 / $100.00	Facility		$58.88	$89.13	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $102.33	Professional		$54.95	$66.07	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $645.65 / $1,096.48	Facility		$79.43	$645.65	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $112.20 / $154.88	Professional		$61.66	$112.20	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,570.40 / $2,630.27	Facility		$954.99	$2,570.40	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $134.90	Professional		$52.48	$74.13	$134.90