Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.00 / $1,502.00 / $2,825.00	Facility		$740.00	$1,502.00	$2,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,596.70 / $1,837.19 / $3,868.30	Professional		$1,596.70	$1,837.19	$3,868.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $926.90 / $926.90 / $926.90	Facility		$926.90	$926.90	$926.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,530.00 / $2,530.00 / $2,530.00	Professional		$2,530.00	$2,530.00	$2,530.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $774.66 / $867.23 / $1,240.31	Facility		$774.66	$867.23	$1,240.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,526.30 / $2,705.18 / $3,955.63	Professional		$1,526.30	$2,705.18	$3,955.63
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 $455.00 / $870.00 / $3,779.00	Facility		$455.00	$870.00	$3,779.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,517.71 / $1,982.02 / $4,097.76	Professional		$1,517.71	$1,982.02	$4,097.76