Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $169.82	Facility		$165.96	$165.96	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $575.44	Professional		$95.50	$158.49	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $79.43	Professional		$21.38	$30.20	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $218.78 / $776.25	Facility		$165.96	$218.78	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $229.09	Professional		$181.97	$213.80	$229.09