Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,047.13 / $1,995.26	Facility		$416.87	$1,047.13	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.90 / $56.23	Professional		$19.95	$30.90	$56.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $446.68	Facility		$371.54	$371.54	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $43.65 / $74.13	Professional		$28.18	$43.65	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $42.66 / $50.12	Professional		$38.02	$42.66	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $562.34 / $1,621.81	Facility		$309.03	$562.34	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $29.51 / $53.70	Professional		$20.42	$29.51	$53.70