Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $1,775.00 / $5,389.00	Facility		$438.00	$1,775.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $164.57 / $324.51	Professional		$102.60	$164.57	$324.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.38 / $204.38 / $248.81	Professional		$204.38	$204.38	$248.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $191.82 / $228.27	Professional		$171.00	$191.82	$228.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.09 / $244.28 / $447.86	Professional		$147.09	$244.28	$447.86