Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.78 / $950.00 / $5,239.93	Facility		$171.78	$950.00	$5,239.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.35 / $176.61 / $307.48	Professional		$99.35	$176.61	$307.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.48 / $326.48 / $326.48	Facility		$326.48	$326.48	$326.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $220.00	Professional		$220.00	$220.00	$220.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.48 / $124.48 / $382.44	Facility		$124.48	$124.48	$382.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.22 / $197.39 / $337.98	Professional		$109.22	$197.39	$337.98
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 $160.24 / $214.32 / $446.06	Professional		$160.24	$214.32	$446.06