Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.93 / $665.07 / $665.07	Facility		$77.93	$665.07	$665.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.93 / $665.07 / $743.60	Professional		$77.93	$665.07	$743.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.42 / $199.12 / $229.06	Professional		$123.42	$199.12	$229.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $803.63 / $803.63 / $803.63	Facility		$803.63	$803.63	$803.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.72 / $630.72 / $630.72	Professional		$630.72	$630.72	$630.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,000.00	Professional		$32.34	$32.34	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.22 / $162.68 / $389.68	Professional		$67.22	$162.68	$389.68