Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.08 / $750.00 / $1,831.00	Facility		$118.08	$750.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $124.45 / $253.21	Professional		$87.18	$124.45	$253.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.28 / $102.28 / $102.28	Facility		$102.28	$102.28	$102.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $249.00 / $249.00	Professional		$249.00	$249.00	$249.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.63 / $84.67 / $388.28	Facility		$75.63	$84.67	$388.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.98 / $170.27 / $262.97	Professional		$116.98	$170.27	$262.97
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 / $1,739.00	Facility		$225.00	$513.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.10 / $150.16 / $313.35	Professional		$118.10	$150.16	$313.35