Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.10 / $174.10 / $174.10	Facility		$174.10	$174.10	$174.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.10 / $174.10 / $174.10	Professional		$174.10	$174.10	$174.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $297.39 / $297.39 / $297.39	Facility		$297.39	$297.39	$297.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.39 / $297.39 / $297.39	Professional		$297.39	$297.39	$297.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $161.72 / $161.72	Professional		$161.72	$161.72	$161.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $21.25 / $50.00	Professional		$17.00	$21.25	$50.00