Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,410.00 / $2,825.00	Facility		$750.00	$1,410.00	$2,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.61 / $448.57 / $992.46	Professional		$401.61	$448.57	$992.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,672.14 / $1,672.14 / $1,672.14	Facility		$1,672.14	$1,672.14	$1,672.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $889.00 / $889.00 / $889.00	Professional		$889.00	$889.00	$889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,459.30 / $1,633.67 / $4,524.92	Facility		$1,459.30	$1,633.67	$4,524.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.77 / $697.11 / $932.94	Professional		$446.77	$697.11	$932.94
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 $860.00 / $2,913.00 / $7,885.00	Facility		$860.00	$2,913.00	$7,885.00
United Facility/Professional Professional Modifier Low / Median / High Price $396.86 / $522.42 / $1,015.36	Professional		$396.86	$522.42	$1,015.36