Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.57 / $993.00 / $1,831.00	Facility		$155.57	$993.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.83 / $66.59 / $155.57	Professional		$50.83	$66.59	$155.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $697.58 / $697.58 / $697.58	Facility		$697.58	$697.58	$697.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $107.00 / $670.75	Professional		$107.00	$107.00	$670.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $594.99 / $680.07	Facility		$415.00	$594.99	$680.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.14 / $76.40 / $116.00	Professional		$51.14	$76.40	$116.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $38.25 / $50.00	Professional		$21.25	$38.25	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,305.00 / $3,191.00	Facility		$575.00	$1,305.00	$3,191.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $66.86 / $139.87	Professional		$47.85	$66.86	$139.87