Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $1,995.26	Facility		$199.53	$1,288.25	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $380.19	Professional		$120.23	$190.55	$380.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $331.13 / $331.13 / $331.13	Professional	50	$331.13	$331.13	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $1,122.02	Facility		$158.49	$158.49	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $331.13	Professional		$128.82	$204.17	$331.13
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 $363.08 / $630.96 / $1,479.11	Facility		$363.08	$630.96	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $204.17 / $407.38	Professional		$123.03	$204.17	$407.38