Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.03 / $614.40 / $1,002.24	Facility		$244.03	$614.40	$1,002.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.24 / $314.88 / $364.80	Professional		$126.24	$314.88	$364.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.28 / $537.60 / $679.68	Facility		$449.28	$537.60	$679.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.60 / $918.53 / $1,767.53	Facility		$405.60	$918.53	$1,767.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.80 / $467.55 / $560.17	Professional		$460.80	$467.55	$560.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $564.48	Professional		$30.00	$30.00	$564.48
United Facility/Professional Professional Modifier Low / Median / High Price $80.64 / $115.20 / $201.79	Professional		$80.64	$115.20	$201.79