Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.39 / $784.00 / $1,831.00	Facility		$168.39	$784.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.75 / $265.51 / $356.98	Professional		$142.75	$265.51	$356.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $697.58 / $697.58 / $697.58	Facility		$697.58	$697.58	$697.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $195.00 / $195.00	Professional		$195.00	$195.00	$195.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.07 / $680.07 / $1,124.50	Facility		$680.07	$680.07	$1,124.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.66 / $247.21 / $330.79	Professional		$156.66	$247.21	$330.79
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 $144.07 / $212.98 / $409.13	Professional		$144.07	$212.98	$409.13