Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.39 / $871.06 / $2,155.19	Facility		$293.39	$871.06	$2,155.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.39 / $293.39 / $293.39	Professional		$293.39	$293.39	$293.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $105.00 / $105.00	Facility		$105.00	$105.00	$105.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $105.00 / $105.00	Professional		$105.00	$105.00	$105.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $147.34 / $147.34	Professional		$147.34	$147.34	$147.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $21.25 / $50.00	Professional		$17.00	$21.25	$50.00