Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.62 / $784.00 / $4,389.64	Facility		$221.62	$784.00	$4,389.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,890.91 / $4,890.91 / $4,890.91	Facility	50	$4,890.91	$4,890.91	$4,890.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $207.71 / $581.17	Professional		$113.63	$207.71	$581.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.89 / $240.89 / $264.98	Facility		$240.89	$240.89	$264.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.00 / $247.00 / $247.00	Professional		$247.00	$247.00	$247.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.22 / $176.01 / $1,168.67	Facility		$157.22	$176.01	$1,168.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.99 / $223.02 / $420.95	Professional		$124.99	$223.02	$420.95
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 / $1,957.00	Facility		$455.00	$858.00	$1,957.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.71 / $323.20 / $625.29	Professional		$181.71	$323.20	$625.29