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 $1,354.63 / $1,738.99 / $3,751.45	Professional		$1,354.63	$1,738.99	$3,751.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,584.00 / $2,584.00 / $2,584.00	Professional		$2,584.00	$2,584.00	$2,584.00
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 $1,572.72 / $2,570.81 / $3,239.38	Professional		$1,572.72	$2,570.81	$3,239.38
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 $1,185.00 / $5,261.00 / $11,325.00	Facility		$1,185.00	$5,261.00	$11,325.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.69 / $1,849.89 / $3,682.14	Professional		$1,412.69	$1,849.89	$3,682.14