Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,831.00 / $3,300.00	Facility		$875.00	$1,831.00	$3,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,652.75 / $2,082.67 / $4,533.35	Professional		$1,652.75	$2,082.67	$4,533.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,118.87 / $3,118.87 / $3,118.87	Facility		$3,118.87	$3,118.87	$3,118.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,335.00 / $3,335.00 / $3,335.00	Professional		$3,335.00	$3,335.00	$3,335.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $6,486.26	Facility		$1,000.00	$1,000.00	$6,486.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,824.99 / $3,105.58 / $3,828.23	Professional		$1,824.99	$3,105.58	$3,828.23
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 $985.00 / $4,148.00 / $12,216.00	Facility		$985.00	$4,148.00	$12,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.77 / $2,174.76 / $4,414.76	Professional		$1,698.77	$2,174.76	$4,414.76