Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.13 / $950.00 / $1,831.00	Facility		$174.13	$950.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.92 / $174.13 / $532.96	Professional		$76.92	$174.13	$532.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.41 / $95.41 / $104.96	Facility		$95.41	$95.41	$104.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.18 / $427.00 / $427.00	Professional		$169.18	$427.00	$427.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.06 / $124.92 / $588.00	Facility		$117.06	$124.92	$588.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $197.55 / $370.12	Professional		$93.47	$197.55	$370.12
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 $575.00 / $1,305.00 / $4,939.00	Facility		$575.00	$1,305.00	$4,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.65 / $233.57 / $485.49	Professional		$165.65	$233.57	$485.49