Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.98 / $246.23 / $246.23	Facility		$196.98	$246.23	$246.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $246.23 / $246.23	Professional		$112.20	$246.23	$246.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $622.00 / $622.00 / $622.00	Facility		$622.00	$622.00	$622.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $622.00 / $622.00 / $622.00	Professional		$622.00	$622.00	$622.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.37 / $99.01 / $319.43	Facility		$42.37	$99.01	$319.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.00 / $628.00 / $628.00	Professional		$628.00	$628.00	$628.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $21.25 / $50.00	Professional		$17.00	$21.25	$50.00