Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.98 / $993.00 / $1,831.00	Facility		$381.98	$993.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.81 / $198.63 / $381.98	Professional		$124.81	$198.63	$381.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $861.98 / $861.98 / $861.98	Facility		$861.98	$861.98	$861.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $315.00 / $828.83	Professional		$315.00	$315.00	$828.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $782.14 / $1,296.55	Facility		$415.00	$782.14	$1,296.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.50 / $226.53 / $459.14	Professional		$136.50	$226.53	$459.14
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 / $3,191.00	Facility		$575.00	$1,305.00	$3,191.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.45 / $190.77 / $415.97	Professional		$122.45	$190.77	$415.97