Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.14 / $882.32 / $1,191.13	Facility		$482.14	$882.32	$1,191.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.61 / $361.61 / $361.61	Professional		$361.61	$361.61	$361.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $626.78 / $650.89 / $650.89	Facility		$626.78	$650.89	$650.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,156.00 / $1,156.00 / $1,156.00	Professional		$1,156.00	$1,156.00	$1,156.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.39 / $313.39 / $329.06	Facility		$313.39	$313.39	$329.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $20.00 / $40.00	Professional		$17.00	$20.00	$40.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $124.39 / $353.87	Professional		$87.07	$124.39	$353.87