Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $912.01 / $1,023.29	Facility		$501.19	$912.01	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $660.69	Professional		$380.19	$407.38	$660.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $346.74	Facility		$323.59	$323.59	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $724.44	Professional		$575.44	$575.44	$724.44
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 $457.09 / $457.09 / $602.56	Facility		$457.09	$457.09	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $1,122.02	Professional		$213.80	$275.42	$1,122.02