Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,609.00 / $5,389.00	Facility		$755.00	$1,609.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $126.00 / $126.00	Professional		$126.00	$126.00	$126.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.87 / $234.69 / $288.68	Facility		$203.87	$234.69	$288.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.24 / $226.07 / $432.55	Facility		$208.24	$226.07	$432.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $891.00 / $3,399.00	Facility		$204.00	$891.00	$3,399.00