Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.96 / $838.04 / $1,831.00	Facility		$167.96	$838.04	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.58 / $203.59 / $838.04	Professional		$89.58	$203.59	$838.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $753.88 / $753.88 / $753.88	Facility		$753.88	$753.88	$753.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $285.00 / $724.89	Professional		$285.00	$285.00	$724.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,466.79 / $1,466.79 / $1,643.53	Facility		$1,466.79	$1,466.79	$1,643.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.28 / $213.36 / $390.29	Professional		$110.28	$213.36	$390.29
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 / $1,957.00	Facility		$455.00	$858.00	$1,957.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $308.20 / $572.34	Professional		$173.49	$308.20	$572.34