Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $680.00 / $1,831.00 / $5,007.12	Facility		$680.00	$1,831.00	$5,007.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.58 / $436.57 / $975.59	Professional		$389.58	$436.57	$975.59
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 $987.00 / $987.00 / $987.00	Professional		$987.00	$987.00	$987.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,110.68 / $1,243.39 / $3,172.34	Facility		$1,110.68	$1,243.39	$3,172.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.66 / $716.84 / $1,016.00	Professional		$423.66	$716.84	$1,016.00
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 $717.00 / $2,262.00 / $6,928.00	Facility		$717.00	$2,262.00	$6,928.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.51 / $500.68 / $1,147.71	Professional		$375.51	$500.68	$1,147.71