Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $208.93 / $234.42	Facility		$114.82	$208.93	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $91.20 / $208.93	Professional		$85.11	$91.20	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $77.62 / $87.10	Facility		$74.13	$77.62	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $138.04	Facility		$102.33	$102.33	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $257.04	Professional		$47.86	$69.18	$257.04