Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.46 / $803.46 / $1,352.50	Facility		$803.46	$803.46	$1,352.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.42 / $803.46 / $1,352.50	Professional		$637.42	$803.46	$1,352.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $872.95 / $872.95 / $960.25	Facility		$872.95	$872.95	$960.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Professional		$255.00	$255.00	$255.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.05 / $415.05 / $415.05	Facility		$415.05	$415.05	$415.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.61 / $733.18 / $861.30	Professional		$558.61	$733.18	$861.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $50.00 / $775.17	Professional		$42.50	$50.00	$775.17
United Facility/Professional Professional Modifier Low / Median / High Price $633.79 / $838.15 / $1,644.17	Professional		$633.79	$838.15	$1,644.17