Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $831.76 / $1,122.02	Facility		$724.44	$831.76	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $776.25	Professional		$691.83	$691.83	$776.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $524.81	Facility		$489.78	$489.78	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $691.83	Facility		$676.08	$676.08	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $870.96	Professional		$588.84	$691.83	$870.96