Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $180.00	Facility		$123.00	$123.00	$180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $127.50 / $180.00	Professional		$120.00	$127.50	$180.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Professional		$135.00	$135.00	$135.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
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 $142.50 / $150.00 / $195.00	Professional		$142.50	$150.00	$195.00