Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.04 / $84.04 / $96.05	Facility		$84.04	$84.04	$96.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $84.04 / $96.05	Professional		$80.04	$84.04	$96.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.42 / $93.42 / $93.42	Professional		$93.42	$93.42	$93.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Facility		$80.04	$80.04	$80.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Professional		$80.04	$80.04	$80.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $25.00 / $50.00	Professional		$17.00	$25.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.04 / $80.04 / $104.05	Professional		$76.04	$80.04	$104.05