Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Facility		$57.67	$57.67	$57.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Professional		$57.67	$57.67	$57.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.05 / $190.05 / $209.06	Facility		$190.05	$190.05	$209.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.00 / $181.00 / $181.00	Professional		$181.00	$181.00	$181.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $174.60 / $174.60	Professional		$170.00	$174.60	$174.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $25.00 / $50.00	Professional		$17.00	$25.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $83.89 / $165.12	Professional		$41.94	$83.89	$165.12