Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $554.65 / $2,825.00	Facility		$415.00	$554.65	$2,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.28 / $462.65 / $578.66	Professional		$232.28	$462.65	$578.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.98 / $332.98 / $332.98	Facility		$332.98	$332.98	$332.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $847.00 / $847.00 / $847.00	Professional		$847.00	$847.00	$847.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.25 / $166.11 / $771.45	Facility		$150.25	$166.11	$771.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.67 / $629.20 / $988.18	Professional		$200.67	$629.20	$988.18
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 / $825.00 / $1,957.00	Facility		$455.00	$825.00	$1,957.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.09 / $593.49 / $1,115.70	Professional		$439.09	$593.49	$1,115.70