Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $776.25 / $1,513.56	Facility		$295.12	$776.25	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $316.23 / $316.23	Professional		$158.49	$316.23	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $58.88	Professional		$19.95	$25.12	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $295.12 / $457.09	Facility		$144.54	$295.12	$457.09