Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.19 / $750.00 / $1,831.00	Facility		$162.19	$750.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.08 / $165.17 / $425.36	Professional		$121.08	$165.17	$425.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.65 / $152.65 / $167.92	Facility		$152.65	$152.65	$167.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.00 / $423.00 / $423.00	Professional		$423.00	$423.00	$423.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.30 / $94.37 / $104.33	Facility		$84.30	$94.37	$104.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.16 / $232.61 / $358.31	Professional		$155.16	$232.61	$358.31
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 $154.61 / $236.16 / $446.85	Professional		$154.61	$236.16	$446.85