Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.38 / $936.00 / $1,831.00	Facility		$254.38	$936.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.72 / $147.80 / $297.68	Professional		$117.72	$147.80	$297.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $419.39 / $419.39 / $419.39	Facility		$419.39	$419.39	$419.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $109.00 / $109.00	Professional		$109.00	$109.00	$109.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.30 / $483.30 / $847.29	Facility		$483.30	$483.30	$847.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.35 / $203.68 / $316.74	Professional		$136.35	$203.68	$316.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $25.00 / $50.00	Professional		$17.00	$25.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $939.00 / $3,779.00	Facility		$455.00	$939.00	$3,779.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.50 / $182.53 / $375.85	Professional		$132.50	$182.53	$375.85