Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $4.54 / $4.54	Facility		$4.54	$4.54	$4.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $4.54 / $6.40	Professional		$4.54	$4.54	$6.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.45 / $93.45 / $102.80	Facility		$93.45	$93.45	$102.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $89.00 / $89.00	Professional		$89.00	$89.00	$89.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $9.27 / $9.27	Facility		$9.27	$9.27	$9.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $9.27	Professional		$6.77	$6.77	$9.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $21.25 / $50.00	Professional		$17.00	$21.25	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $5.27 / $10.89	Professional		$4.01	$5.27	$10.89