Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $73.73 / $109.96	Facility		$42.13	$73.73	$109.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $56.88	Professional		$42.13	$42.13	$56.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $235.50	Facility		$42.13	$42.13	$235.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $32.44 / $42.13	Professional		$3.50	$32.44	$42.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.22 / $100.76 / $193.58	Facility		$29.22	$100.76	$193.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $48.54 / $61.47	Professional		$42.13	$48.54	$61.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $30.00 / $30.00	Professional		$21.07	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $25.28 / $42.22	Professional		$17.73	$25.28	$42.22