Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.10 / $784.00 / $1,831.00	Facility		$137.10	$784.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.25 / $147.66 / $250.00	Professional		$87.25	$147.66	$250.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.78 / $114.78 / $114.78	Facility		$114.78	$114.78	$114.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $219.00 / $219.00	Professional		$219.00	$219.00	$219.00
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 $91.56 / $159.56 / $301.01	Professional		$91.56	$159.56	$301.01
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 $137.61 / $167.82 / $342.50	Professional		$137.61	$167.82	$342.50