Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.87 / $993.00 / $1,831.00	Facility		$496.87	$993.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.13 / $529.88 / $1,223.55	Professional		$460.13	$529.88	$1,223.55
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 $1,812.00 / $1,812.00 / $1,812.00	Professional		$1,812.00	$1,812.00	$1,812.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.14 / $327.39 / $771.45	Facility		$296.14	$327.39	$771.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.54 / $764.70 / $1,379.88	Professional		$463.54	$764.70	$1,379.88
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 / $905.34 / $1,845.00	Facility		$455.00	$905.34	$1,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $490.13 / $653.51 / $1,413.58	Professional		$490.13	$653.51	$1,413.58