Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $1,250.00 / $1,831.00	Facility		$598.07	$1,250.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.29 / $645.82 / $1,448.92	Professional		$578.29	$645.82	$1,448.92
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 $1,485.00 / $1,485.00 / $1,485.00	Professional		$1,485.00	$1,485.00	$1,485.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,110.68 / $1,243.39 / $2,332.63	Facility		$1,110.68	$1,243.39	$2,332.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.91 / $1,062.27 / $1,414.48	Professional		$629.91	$1,062.27	$1,414.48
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 $610.00 / $1,354.00 / $4,939.00	Facility		$610.00	$1,354.00	$4,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $574.53 / $742.51 / $1,697.63	Professional		$574.53	$742.51	$1,697.63