Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $112.20	Facility		$102.33	$102.33	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $186.21	Professional		$89.13	$107.15	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $123.03 / $123.03	Facility		$120.23	$123.03	$123.03
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 / $87.10	Facility		$60.26	$70.79	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $151.36	Professional		$77.62	$107.15	$151.36
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 $87.10 / $97.72 / $107.15	Facility		$87.10	$97.72	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $158.49	Professional		$74.13	$95.50	$158.49