Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.81 / $93.81 / $107.21	Facility		$93.81	$93.81	$107.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $90.24 / $107.21	Professional		$89.34	$90.24	$107.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.26 / $99.26 / $109.19	Facility		$99.26	$99.26	$109.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.42 / $97.42 / $116.66	Professional		$97.42	$97.42	$116.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $89.34 / $133.32	Facility		$89.34	$89.34	$133.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $114.65	Professional		$89.34	$89.34	$114.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.75 / $137.66 / $157.94	Professional		$118.75	$137.66	$157.94
United Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $89.34 / $117.93	Professional		$84.87	$89.34	$117.93