Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $812.83	Facility		$794.33	$794.33	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $724.44 / $812.83	Professional		$616.60	$724.44	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $50.12	Professional		$42.66	$42.66	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $891.25 / $1,148.15	Professional		$851.14	$891.25	$1,148.15