Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $275.42	Facility		$218.78	$218.78	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $194.98 / $275.42	Facility		$42.66	$194.98	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $229.09 / $338.84	Facility		$51.29	$229.09	$338.84