Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.87 / $900.00 / $1,831.00	Facility		$454.87	$900.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.51 / $495.88 / $1,004.71	Professional		$295.51	$495.88	$1,004.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,292.64 / $1,292.64 / $1,292.64	Facility		$1,292.64	$1,292.64	$1,292.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $578.00 / $578.00 / $578.00	Professional		$578.00	$578.00	$578.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.39 / $1,243.39 / $3,172.34	Facility		$1,243.39	$1,243.39	$3,172.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.03 / $532.30 / $880.72	Professional		$348.03	$532.30	$880.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $2,148.00 / $6,150.00	Facility		$700.00	$2,148.00	$6,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $424.03 / $537.61 / $1,096.02	Professional		$424.03	$537.61	$1,096.02