Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.96 / $993.00 / $1,831.00	Facility		$352.96	$993.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.15 / $315.00 / $448.26	Professional		$211.15	$315.00	$448.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,065.94 / $1,065.94 / $1,065.94	Facility		$1,065.94	$1,065.94	$1,065.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $819.87 / $819.87 / $1,024.94	Professional		$819.87	$819.87	$1,024.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,014.96 / $1,014.96 / $1,014.96	Facility		$1,014.96	$1,014.96	$1,014.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $25.00 / $50.00	Professional		$17.00	$25.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $1,354.00 / $4,939.00	Facility		$610.00	$1,354.00	$4,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $412.80 / $610.17 / $1,142.58	Professional		$412.80	$610.17	$1,142.58