Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $707.95 / $794.33	Facility		$389.05	$707.95	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $707.95	Professional		$295.12	$363.08	$707.95
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 $251.19 / $251.19 / $269.15	Facility		$251.19	$251.19	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $562.34	Professional		$446.68	$446.68	$562.34
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 $354.81 / $354.81 / $467.74	Facility		$354.81	$354.81	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $870.96	Professional		$165.96	$213.80	$870.96