Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.51 / $784.00 / $1,831.00	Facility		$211.51	$784.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $242.28 / $579.53	Professional		$165.76	$242.28	$579.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $749.31 / $749.31 / $749.31	Facility		$749.31	$749.31	$749.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.00 / $490.00 / $490.00	Professional		$490.00	$490.00	$490.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.73 / $732.73 / $1,505.84	Facility		$732.73	$732.73	$1,505.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.09 / $290.22 / $427.13	Professional		$174.09	$290.22	$427.13
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 $610.00 / $1,305.00 / $3,046.00	Facility		$610.00	$1,305.00	$3,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.14 / $268.39 / $528.28	Professional		$207.14	$268.39	$528.28