Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $1,819.70 / $2,818.38	Facility		$112.20	$1,819.70	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $199.53 / $263.03	Professional		$95.50	$199.53	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $128.82 / $128.82	Facility		$123.03	$128.82	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $194.98 / $331.13	Professional		$95.50	$194.98	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $79.43 / $87.10	Facility		$72.44	$79.43	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $190.55 / $281.84	Professional		$95.50	$190.55	$281.84