Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.25 / $663.15 / $1,287.40	Facility		$86.25	$663.15	$1,287.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $85.31 / $154.00	Professional		$36.79	$85.31	$154.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.34 / $101.34 / $101.34	Facility		$101.34	$101.34	$101.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $134.00 / $134.00	Professional		$134.00	$134.00	$134.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.26 / $65.26 / $847.45	Facility		$65.26	$65.26	$847.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.46 / $119.64 / $217.03	Professional		$54.46	$119.64	$217.03
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 $455.00 / $858.00 / $3,779.00	Facility		$455.00	$858.00	$3,779.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $122.88 / $226.18	Professional		$99.11	$122.88	$226.18