Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.19 / $750.00 / $1,831.00	Facility		$58.19	$750.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.19 / $126.17 / $288.89	Professional		$58.19	$126.17	$288.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.62 / $142.62 / $142.62	Facility		$142.62	$142.62	$142.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $148.00 / $148.00	Professional		$148.00	$148.00	$148.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $109.76 / $2,202.96	Facility		$109.76	$109.76	$2,202.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.62 / $127.42 / $245.00	Professional		$67.62	$127.42	$245.00
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 $610.00 / $1,305.00 / $3,046.00	Facility		$610.00	$1,305.00	$3,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.22 / $185.93 / $289.05	Professional		$119.22	$185.93	$289.05