Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $323.59 / $323.59	Facility		$57.54	$323.59	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $70.79	Professional		$39.81	$52.48	$70.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $54.95	Professional		$50.12	$50.12	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $58.88	Professional		$19.95	$25.12	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $251.19 / $389.05	Facility		$112.20	$251.19	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $104.71	Professional		$51.29	$64.57	$104.71