Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.13 / $936.00 / $1,831.00	Facility		$148.13	$936.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.91 / $102.65 / $148.13	Professional		$87.91	$102.65	$148.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.33 / $1,153.33 / $1,268.67	Facility		$1,153.33	$1,153.33	$1,268.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.51 / $351.51 / $351.51	Professional		$351.51	$351.51	$351.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.83 / $326.83 / $326.83	Facility		$326.83	$326.83	$326.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $42.50 / $50.00	Professional		$38.25	$42.50	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $858.00 / $3,779.00	Facility		$455.00	$858.00	$3,779.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.62 / $225.82 / $368.69	Professional		$153.62	$225.82	$368.69