Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.95 / $154.63 / $171.54	Facility		$92.95	$154.63	$171.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.43 / $92.95 / $171.54	Professional		$65.43	$92.95	$171.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.00 / $214.00 / $214.00	Facility		$214.00	$214.00	$214.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.00 / $214.00 / $214.00	Professional		$214.00	$214.00	$214.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.75 / $78.29 / $105.50	Facility		$56.75	$78.29	$105.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $82.09 / $147.00	Professional		$35.50	$82.09	$147.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $29.71 / $72.68	Professional		$21.25	$29.71	$72.68
United Facility/Professional Facility Modifier Low / Median / High Price $27.46 / $27.46 / $33.43	Facility		$27.46	$27.46	$33.43
United Facility/Professional Professional Modifier Low / Median / High Price $32.19 / $43.35 / $121.94	Professional		$32.19	$43.35	$121.94