Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $954.99 / $1,995.26	Facility		$131.83	$954.99	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $316.23	Professional		$112.20	$147.91	$316.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $56.23 / $151.36 / $891.25	Professional	50	$56.23	$151.36	$891.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $95.50 / $524.81	Facility		$85.11	$95.50	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $257.04	Professional		$107.15	$151.36	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $575.44 / $1,621.81	Facility		$309.03	$575.44	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $245.47	Professional		$107.15	$138.04	$245.47