Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.41 / $936.00 / $1,831.00	Facility		$250.41	$936.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.49 / $250.41 / $304.97	Professional		$95.49	$250.41	$304.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $410.58 / $410.58 / $410.58	Facility		$410.58	$410.58	$410.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $201.00 / $201.00	Professional		$201.00	$201.00	$201.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $384.58 / $384.58 / $1,168.67	Facility		$384.58	$384.58	$1,168.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.30 / $164.73 / $221.10	Professional		$119.30	$164.73	$221.10
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 $455.00 / $858.00 / $3,779.00	Facility		$455.00	$858.00	$3,779.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.67 / $150.55 / $267.57	Professional		$96.67	$150.55	$267.57