Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.53 / $750.00 / $1,831.00	Facility		$125.53	$750.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.68 / $124.07 / $329.20	Professional		$58.68	$124.07	$329.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $560.09 / $560.09 / $616.10	Facility		$560.09	$560.09	$616.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.00 / $193.00 / $193.00	Professional		$193.00	$193.00	$193.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.66 / $494.44 / $648.21	Facility		$441.66	$494.44	$648.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.01 / $145.03 / $255.15	Professional		$81.01	$145.03	$255.15
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 / $870.00 / $3,779.00	Facility		$455.00	$870.00	$3,779.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.33 / $178.30 / $347.21	Professional		$119.33	$178.30	$347.21