Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.35 / $993.00 / $1,831.00	Facility		$196.35	$993.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.91 / $136.05 / $196.35	Professional		$113.91	$136.05	$196.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,496.25 / $4,496.25 / $4,496.25	Facility		$4,496.25	$4,496.25	$4,496.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $819.87 / $819.87 / $819.87	Professional		$819.87	$819.87	$819.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.37 / $4,786.37 / $4,786.37	Facility		$4,786.37	$4,786.37	$4,786.37
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 $985.00 / $3,956.00 / $10,251.00	Facility		$985.00	$3,956.00	$10,251.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.79 / $238.56 / $437.13	Professional		$159.79	$238.56	$437.13