Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $223.87 / $295.12	Facility		$169.82	$223.87	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $295.12	Professional		$162.18	$186.21	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
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 $190.55 / $223.87 / $588.84	Facility		$190.55	$223.87	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $446.68	Professional		$190.55	$309.03	$446.68
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 $446.68 / $741.31 / $812.83	Facility		$446.68	$741.31	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $380.19	Professional		$144.54	$213.80	$380.19