Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.01 / $750.00 / $1,831.00	Facility		$121.01	$750.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.70 / $156.05 / $336.33	Professional		$109.70	$156.05	$336.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $409.35 / $409.35 / $409.35	Professional	50	$409.35	$409.35	$409.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.40 / $100.40 / $100.40	Facility		$100.40	$100.40	$100.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.00 / $339.00 / $339.00	Professional		$339.00	$339.00	$339.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.23 / $81.99 / $367.28	Facility		$73.23	$81.99	$367.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.58 / $197.36 / $317.39	Professional		$130.58	$197.36	$317.39
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 $117.18 / $167.41 / $337.88	Professional		$117.18	$167.41	$337.88