Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.89 / $122.89 / $195.86	Facility		$122.89	$122.89	$195.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.89 / $144.25 / $208.59	Professional		$122.89	$144.25	$208.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $961.80 / $961.80 / $1,057.98	Facility		$961.80	$961.80	$1,057.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $916.00 / $916.00 / $916.00	Professional		$916.00	$916.00	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.68 / $210.68 / $210.68	Facility		$210.68	$210.68	$210.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $153.80 / $210.68	Professional		$153.80	$153.80	$210.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $42.50 / $190.98	Professional		$20.00	$42.50	$190.98
United Facility/Professional Professional Modifier Low / Median / High Price $95.13 / $125.53 / $213.91	Professional		$95.13	$125.53	$213.91