Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $97.00 / $97.00	Facility		$97.00	$97.00	$97.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $97.00 / $97.00	Professional		$80.00	$97.00	$97.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.35 / $175.35 / $192.89	Facility		$175.35	$175.35	$192.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.00 / $167.00 / $167.00	Professional		$167.00	$167.00	$167.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.60 / $94.60 / $94.60	Facility		$94.60	$94.60	$94.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $69.06 / $94.60	Professional		$69.06	$69.06	$94.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $21.25 / $50.00	Professional		$17.00	$21.25	$50.00