Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $165.96 / $186.21	Facility		$91.20	$165.96	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $74.13 / $165.96	Professional		$67.61	$74.13	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $63.10 / $69.18	Facility		$60.26	$63.10	$69.18
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 $83.18 / $91.20 / $112.20	Facility		$83.18	$91.20	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $56.23 / $251.19	Professional		$38.90	$56.23	$251.19