Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,047.13 / $1,995.26	Facility		$416.87	$1,047.13	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $194.98	Professional		$109.65	$165.96	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $512.86	Professional		$162.18	$162.18	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $489.78 / $1,174.90	Facility		$446.68	$489.78	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $42.66 / $79.43	Professional		$21.38	$42.66	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,000.00 / $2,041.74	Facility		$457.09	$1,000.00	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $389.05	Professional		$154.88	$204.17	$389.05