Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.75 / $120.75 / $132.83	Facility		$120.75	$120.75	$132.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $115.00 / $115.00	Professional		$115.00	$115.00	$115.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $98.27 / $98.27	Professional		$98.27	$98.27	$98.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $25.00 / $50.00	Professional		$17.00	$25.00	$50.00