Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $223.87 / $245.47	Facility		$123.03	$223.87	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $97.72 / $141.25	Professional		$91.20	$97.72	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $165.96 / $165.96	Facility		$158.49	$165.96	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $83.18 / $102.33	Facility		$79.43	$83.18	$102.33
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 $109.65 / $123.03 / $151.36	Facility		$109.65	$123.03	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $338.84	Professional		$51.29	$75.86	$338.84