Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.13 / $993.00 / $1,831.00	Facility		$253.13	$993.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.06 / $171.12 / $330.39	Professional		$139.06	$171.12	$330.39
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 $553.00 / $553.00 / $553.00	Professional		$553.00	$553.00	$553.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.46 / $110.46 / $254.12	Facility		$110.46	$110.46	$254.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $273.48 / $462.08	Professional		$161.62	$273.48	$462.08
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 $150.41 / $210.12 / $473.80	Professional		$150.41	$210.12	$473.80