Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.94 / $163.19 / $198.24	Facility		$34.94	$163.19	$198.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $34.94 / $60.98	Professional		$27.29	$34.94	$60.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $21.00 / $21.00	Facility		$21.00	$21.00	$21.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $21.00	Professional		$21.00	$21.00	$21.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.34 / $25.75 / $33.20	Facility		$17.34	$25.75	$33.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $16.93 / $39.75	Professional		$11.20	$16.93	$39.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.71 / $40.00	Professional		$5.13	$5.71	$40.00
United Facility/Professional Facility Modifier Low / Median / High Price $92.72 / $92.72 / $143.50	Facility		$92.72	$92.72	$143.50
United Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $16.37 / $41.14	Professional		$9.69	$16.37	$41.14