Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.44 / $936.00 / $1,831.00	Facility		$165.44	$936.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.33 / $147.65 / $210.11	Professional		$104.33	$147.65	$210.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $533.41 / $533.41 / $533.41	Facility		$533.41	$533.41	$533.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.09 / $161.09 / $161.09	Professional		$161.09	$161.09	$161.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.66 / $494.44 / $1,168.67	Facility		$441.66	$494.44	$1,168.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $42.50 / $50.00	Professional		$42.50	$42.50	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $870.00 / $3,779.00	Facility		$455.00	$870.00	$3,779.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.77 / $225.56 / $441.78	Professional		$159.77	$225.56	$441.78