Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,884.03 / $3,548.13	Facility		$794.33	$2,884.03	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $794.33 / $794.33	Professional		$380.19	$794.33	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
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 $389.05 / $831.76 / $1,258.93	Facility		$389.05	$831.76	$1,258.93