Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $302.00 / $331.13	Facility		$162.18	$302.00	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $131.83 / $302.00	Professional		$123.03	$131.83	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $112.20 / $123.03	Facility		$107.15	$112.20	$123.03
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 $147.91 / $162.18 / $204.17	Facility		$147.91	$162.18	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $446.68	Professional		$69.18	$102.33	$446.68