Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $710.00 / $1,502.00 / $2,575.00	Facility		$710.00	$1,502.00	$2,575.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,366.70 / $1,931.61 / $2,749.08	Professional		$1,366.70	$1,931.61	$2,749.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $1,512.00 / $1,512.00	Professional		$1,512.00	$1,512.00	$1,512.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,742.18 / $16,742.18 / $16,742.18	Facility		$16,742.18	$16,742.18	$16,742.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $42.50 / $50.00	Professional		$38.25	$42.50	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,360.00 / $8,766.00 / $15,000.00	Facility		$1,360.00	$8,766.00	$15,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,159.88 / $1,729.63 / $2,866.23	Professional		$1,159.88	$1,729.63	$2,866.23