Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.14 / $784.00 / $1,831.00	Facility		$25.14	$784.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $26.67 / $65.16	Professional		$12.82	$26.67	$65.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.42 / $87.42 / $87.42	Facility		$87.42	$87.42	$87.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $47.00 / $47.00	Professional		$47.00	$47.00	$47.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.07 / $91.07 / $91.07	Facility		$91.07	$91.07	$91.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $27.84 / $57.79	Professional		$13.27	$27.84	$57.79
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 $225.00 / $529.00 / $1,739.00	Facility		$225.00	$529.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $33.59 / $68.53	Professional		$27.03	$33.59	$68.53