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 $1,946.05 / $2,141.51 / $4,830.14	Professional		$1,946.05	$2,141.51	$4,830.14
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 $4,087.00 / $4,087.00 / $4,087.00	Professional		$4,087.00	$4,087.00	$4,087.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,086.79 / $3,452.03 / $4,629.91	Professional		$2,086.79	$3,452.03	$4,629.91
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 / $3,968.00 / $10,251.00	Facility		$985.00	$3,968.00	$10,251.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,975.24 / $2,440.00 / $4,774.47	Professional		$1,975.24	$2,440.00	$4,774.47