Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.47 / $798.55 / $1,831.00	Facility		$331.47	$798.55	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.57 / $303.07 / $765.40	Professional		$158.57	$303.07	$765.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,088.02 / $1,088.02 / $1,088.02	Facility		$1,088.02	$1,088.02	$1,088.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.00 / $491.00 / $491.00	Professional		$491.00	$491.00	$491.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,061.42 / $1,173.42 / $2,668.68	Facility		$1,061.42	$1,173.42	$2,668.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.79 / $315.19 / $580.04	Professional		$176.79	$315.19	$580.04
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 $700.00 / $2,062.00 / $6,150.00	Facility		$700.00	$2,062.00	$6,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $293.25 / $364.83 / $673.89	Professional		$293.25	$364.83	$673.89