Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.65 / $450.00 / $850.00	Facility		$220.65	$450.00	$850.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.65 / $325.00 / $417.78	Professional		$220.65	$325.00	$417.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.82 / $295.82 / $325.39	Facility		$295.82	$295.82	$325.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.19 / $69.19 / $69.19	Professional		$69.19	$69.19	$69.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.67 / $58.67 / $380.00	Facility		$58.67	$58.67	$380.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $288.00 / $425.00	Professional		$275.00	$288.00	$425.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $50.00 / $80.00	Professional		$38.25	$50.00	$80.00
United Facility/Professional Facility Modifier Low / Median / High Price $174.35 / $174.35 / $174.35	Facility		$174.35	$174.35	$174.35
United Facility/Professional Professional Modifier Low / Median / High Price $79.47 / $113.87 / $188.87	Professional		$79.47	$113.87	$188.87