Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.69 / $784.00 / $1,831.00	Facility		$163.69	$784.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.91 / $172.46 / $361.55	Professional		$101.91	$172.46	$361.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.88 / $176.88 / $176.88	Facility		$176.88	$176.88	$176.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.00 / $243.00 / $243.00	Professional		$243.00	$243.00	$243.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $136.19 / $1,437.37	Facility		$136.19	$136.19	$1,437.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.07 / $180.51 / $345.30	Professional		$106.07	$180.51	$345.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $858.00 / $1,957.00	Facility		$455.00	$858.00	$1,957.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.02 / $200.72 / $409.04	Professional		$166.02	$200.72	$409.04