Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $993.00 / $1,831.00	Facility		$415.00	$993.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.77 / $519.59 / $1,565.81	Professional		$169.77	$519.59	$1,565.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.60 / $213.60 / $234.96	Facility		$213.60	$213.60	$234.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.00 / $405.00 / $634.28	Professional		$405.00	$405.00	$634.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.00 / $766.16 / $875.71	Facility		$588.00	$766.16	$875.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.68 / $439.17 / $1,043.32	Professional		$195.68	$439.17	$1,043.32
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 $495.75 / $746.50 / $1,395.19	Professional		$495.75	$746.50	$1,395.19