Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $851.14 / $933.25	Facility		$467.74	$851.14	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $380.19 / $602.56	Professional		$354.81	$380.19	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Facility		$10.72	$10.72	$10.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $316.23	Facility		$302.00	$302.00	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $660.69	Professional		$537.03	$537.03	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $562.34	Facility		$416.87	$416.87	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $1,023.29	Professional		$194.98	$257.04	$1,023.29