Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.81 / $784.00 / $1,831.00	Facility		$102.81	$784.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.13 / $96.47 / $237.39	Professional		$85.13	$96.47	$237.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.32 / $86.32 / $86.32	Facility		$86.32	$86.32	$86.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.00 / $196.00 / $196.00	Professional		$196.00	$196.00	$196.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.93 / $76.20 / $518.82	Facility		$68.93	$76.20	$518.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $129.91 / $203.34	Professional		$91.48	$129.91	$203.34
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 $225.00 / $529.00 / $1,739.00	Facility		$225.00	$529.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.57 / $119.08 / $236.76	Professional		$89.57	$119.08	$236.76