Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.59 / $784.00 / $1,831.00	Facility		$243.59	$784.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.63 / $273.02 / $722.16	Professional		$110.63	$273.02	$722.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.24 / $248.24 / $248.24	Facility		$248.24	$248.24	$248.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $626.00 / $626.00 / $626.00	Professional		$626.00	$626.00	$626.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.91 / $215.91 / $215.91	Facility		$215.91	$215.91	$215.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.16 / $211.75 / $424.15	Professional		$113.16	$211.75	$424.15
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 / $536.00 / $1,470.00	Facility		$225.00	$536.00	$1,470.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.93 / $323.27 / $711.37	Professional		$248.93	$323.27	$711.37