Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $954.99 / $1,995.26	Facility		$169.82	$954.99	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $288.40	Professional		$112.20	$165.96	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $489.78	Facility		$109.65	$109.65	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $208.93 / $380.19	Professional		$112.20	$208.93	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $549.54 / $1,621.81	Facility		$269.15	$549.54	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $302.00	Professional		$131.83	$190.55	$302.00