Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.72 / $784.00 / $1,831.00	Facility		$72.72	$784.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $151.86 / $643.54	Professional		$30.44	$151.86	$643.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $414.17 / $414.17 / $414.17	Facility		$414.17	$414.17	$414.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $398.24	Professional		$84.00	$84.00	$398.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.78 / $343.78 / $848.70	Facility		$343.78	$343.78	$848.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $83.99 / $318.52	Professional		$39.28	$83.99	$318.52
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 / $825.00 / $1,957.00	Facility		$455.00	$825.00	$1,957.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.57 / $212.22 / $392.76	Professional		$143.57	$212.22	$392.76