Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.39 / $750.00 / $1,831.00	Facility		$109.39	$750.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.72 / $110.74 / $241.62	Professional		$62.72	$110.74	$241.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.13 / $286.13 / $286.13	Facility		$286.13	$286.13	$286.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.00 / $241.00 / $241.00	Professional		$241.00	$241.00	$241.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.28 / $171.28 / $171.28	Facility		$171.28	$171.28	$171.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $135.54 / $259.83	Professional		$67.27	$135.54	$259.83
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 / $485.00 / $1,650.00	Facility		$225.00	$485.00	$1,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.54 / $141.34 / $275.11	Professional		$106.54	$141.34	$275.11