Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.43 / $798.45 / $1,831.00	Facility		$331.43	$798.45	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.60 / $318.07 / $798.45	Professional		$155.60	$318.07	$798.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.50 / $319.50 / $319.50	Facility		$319.50	$319.50	$319.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $399.00 / $399.00	Professional		$399.00	$399.00	$399.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.93 / $265.24 / $1,220.15	Facility		$239.93	$265.24	$1,220.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.10 / $300.62 / $581.95	Professional		$161.10	$300.62	$581.95
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 / $825.00 / $1,957.00	Facility		$455.00	$825.00	$1,957.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.76 / $371.18 / $687.85	Professional		$298.76	$371.18	$687.85