Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,949.84 / $2,884.03	Facility		$812.83	$1,949.84	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $891.25 / $1,737.80	Professional		$794.33	$891.25	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $3,467.37	Professional		$1,778.28	$1,778.28	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $5,248.07 / $5,888.44	Facility		$4,677.35	$5,248.07	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,380.38 / $1,819.70	Professional		$912.01	$1,380.38	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $4,073.80 / $12,302.69	Facility		$977.24	$4,073.80	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,995.26	Professional		$776.25	$1,000.00	$1,995.26