Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $181.97	Facility		$114.82	$114.82	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $194.98	Professional		$95.50	$112.20	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $70.79 / $89.13	Facility		$60.26	$70.79	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $169.82	Professional		$69.18	$112.20	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $102.33 / $112.20	Facility		$93.33	$102.33	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $165.96	Professional		$77.62	$100.00	$165.96