Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.50 / $225.00 / $225.00	Facility		$157.50	$225.00	$225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $362.81	Professional		$225.00	$225.00	$362.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.95 / $292.95 / $292.95	Facility		$292.95	$292.95	$292.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.95 / $292.95 / $292.95	Professional		$292.95	$292.95	$292.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.37 / $83.83 / $166.64	Facility		$42.37	$83.83	$166.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $104.49 / $130.61	Professional		$104.49	$104.49	$130.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $20.00 / $20.00	Professional		$17.00	$20.00	$20.00