Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $750.00 / $1,831.00	Facility		$74.45	$750.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $99.58 / $275.14	Professional		$27.14	$99.58	$275.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.06 / $136.06 / $136.06	Facility		$136.06	$136.06	$136.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $225.00	Professional		$225.00	$225.00	$225.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.30 / $91.02 / $367.28	Facility		$81.30	$91.02	$367.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.51 / $117.35 / $250.87	Professional		$37.51	$117.35	$250.87
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 $225.00 / $513.00 / $1,739.00	Facility		$225.00	$513.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $174.91 / $389.92	Professional		$110.13	$174.91	$389.92