Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,047.13 / $1,995.26	Facility		$501.19	$1,047.13	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,548.82	Professional		$645.65	$794.33	$1,548.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $2,238.72	Facility		$1,096.48	$1,096.48	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $851.14	Professional		$676.08	$851.14	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $707.95 / $1,122.02	Facility		$630.96	$707.95	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,096.48 / $1,548.82	Professional		$707.95	$1,096.48	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,513.56 / $3,090.30	Facility		$616.60	$1,513.56	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,584.89	Professional		$588.84	$794.33	$1,584.89