Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $204.17 / $229.09	Facility		$112.20	$204.17	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $204.17	Professional		$85.11	$104.71	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $75.86	Facility		$72.44	$72.44	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $162.18	Professional		$128.82	$128.82	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $134.90	Facility		$100.00	$100.00	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $251.19	Professional		$46.77	$61.66	$251.19