Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.97 / $900.00 / $1,831.00	Facility		$171.97	$900.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.23 / $193.43 / $379.84	Professional		$115.23	$193.43	$379.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.00 / $344.00 / $344.00	Professional		$344.00	$344.00	$344.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.47 / $208.48 / $327.88	Professional		$120.47	$208.48	$327.88
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 / $513.00 / $1,581.00	Facility		$225.00	$513.00	$1,581.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.75 / $233.39 / $440.47	Professional		$183.75	$233.39	$440.47