Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $131.83	Facility		$128.82	$128.82	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $131.83	Professional		$91.20	$120.23	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $363.08	Facility		$331.13	$331.13	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $50.12	Professional		$42.66	$42.66	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $257.04 / $457.09	Professional		$251.19	$257.04	$457.09