Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $851.14 / $933.25	Facility		$457.09	$851.14	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $891.25	Professional		$346.74	$489.78	$891.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Facility		$10.72	$10.72	$10.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $316.23	Facility		$302.00	$302.00	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $660.69	Professional		$524.81	$524.81	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $549.54	Facility		$416.87	$416.87	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $1,023.29	Professional		$194.98	$251.19	$1,023.29