Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $318.75 / $650.00	Facility		$318.75	$318.75	$650.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $318.75 / $475.00	Professional		$318.75	$318.75	$475.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $715.55 / $715.55 / $787.11	Facility		$715.55	$715.55	$787.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.08 / $92.08 / $92.08	Professional		$92.08	$92.08	$92.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.05 / $742.60 / $750.00	Facility		$100.05	$742.60	$750.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $285.68 / $285.68 / $285.68	Facility		$285.68	$285.68	$285.68