Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.01 / $950.00 / $1,831.00	Facility		$193.01	$950.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.76 / $197.11 / $590.72	Professional		$91.76	$197.11	$590.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.15 / $114.15 / $125.56	Facility		$114.15	$114.15	$125.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.45 / $372.00 / $372.00	Professional		$180.45	$372.00	$372.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.08 / $134.56 / $588.00	Facility		$126.08	$134.56	$588.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.02 / $224.79 / $402.74	Professional		$112.02	$224.79	$402.74
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 $183.51 / $259.68 / $537.36	Professional		$183.51	$259.68	$537.36