Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.80 / $784.00 / $1,831.00	Facility		$253.80	$784.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $267.63 / $548.44	Professional		$143.75	$267.63	$548.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.51 / $258.51 / $258.51	Facility		$258.51	$258.51	$258.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.00 / $514.00 / $514.00	Professional		$514.00	$514.00	$514.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.10 / $198.10 / $3,210.40	Facility		$198.10	$198.10	$3,210.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.23 / $318.00 / $545.98	Professional		$176.23	$318.00	$545.98
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 $273.73 / $347.62 / $696.57	Professional		$273.73	$347.62	$696.57