Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $125.89 / $169.82	Facility		$109.65	$125.89	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $125.89	Professional		$104.71	$104.71	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $79.43	Facility		$72.44	$72.44	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $85.11	Professional		$81.28	$81.28	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $97.72	Professional		$30.20	$30.20	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $102.33 / $104.71	Facility		$100.00	$102.33	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $134.90	Professional		$89.13	$104.71	$134.90