Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.04 / $112.04 / $128.04	Facility		$112.04	$112.04	$128.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $109.90 / $128.04	Professional		$106.70	$109.90	$128.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.09 / $158.09 / $173.90	Facility		$158.09	$158.09	$173.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.85 / $158.85 / $158.85	Professional		$158.85	$158.85	$158.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Facility		$106.70	$106.70	$106.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Professional		$106.70	$106.70	$106.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.37 / $106.70 / $138.71	Professional		$101.37	$106.70	$138.71