Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.47 / $195.85 / $197.10	Facility		$172.47	$195.85	$197.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $165.90 / $197.10	Professional		$164.25	$165.90	$197.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.46 / $91.46 / $100.61	Facility		$91.46	$91.46	$100.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.91 / $102.91 / $113.28	Professional		$102.91	$102.91	$113.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.51 / $164.25 / $164.25	Facility		$152.51	$164.25	$164.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $164.25	Professional		$164.25	$164.25	$164.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $202.53 / $202.53 / $202.53	Professional		$202.53	$202.53	$202.53
United Facility/Professional Professional Modifier Low / Median / High Price $151.11 / $164.25 / $216.81	Professional		$151.11	$164.25	$216.81