Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $1,831.00 / $4,786.00	Facility		$936.00	$1,831.00	$4,786.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $832.53 / $1,056.55 / $1,503.73	Professional		$832.53	$1,056.55	$1,503.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,115.77 / $9,115.77 / $9,115.77	Facility		$9,115.77	$9,115.77	$9,115.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,947.53 / $3,947.53 / $3,947.53	Professional		$3,947.53	$3,947.53	$3,947.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,700.00 / $2,875.00 / $4,867.00	Facility		$2,700.00	$2,875.00	$4,867.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $20.00 / $25.00	Professional		$17.00	$20.00	$25.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,185.00 / $5,800.00 / $14,043.00	Facility		$1,185.00	$5,800.00	$14,043.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,222.75 / $1,639.62 / $3,345.00	Professional		$1,222.75	$1,639.62	$3,345.00