Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.39 / $784.00 / $1,831.00	Facility		$202.39	$784.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.19 / $225.69 / $392.64	Professional		$140.19	$225.69	$392.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $365.57 / $365.57 / $365.57	Facility		$365.57	$365.57	$365.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.00 / $481.00 / $481.00	Professional		$481.00	$481.00	$481.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.83 / $326.83 / $326.83	Facility		$326.83	$326.83	$326.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.01 / $264.42 / $436.31	Professional		$163.01	$264.42	$436.31
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 $700.00 / $2,062.00 / $6,150.00	Facility		$700.00	$2,062.00	$6,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.08 / $278.89 / $558.29	Professional		$204.08	$278.89	$558.29