Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.00 / $1,320.00 / $2,662.89	Facility		$784.00	$1,320.00	$2,662.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.67 / $1,185.54 / $2,662.89	Professional		$872.67	$1,185.54	$2,662.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,827.51 / $3,827.51 / $3,827.51	Facility		$3,827.51	$3,827.51	$3,827.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.00 / $2,041.00 / $2,041.00	Professional		$2,041.00	$2,041.00	$2,041.00
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 $1,068.21 / $1,692.81 / $2,189.19	Professional		$1,068.21	$1,692.81	$2,189.19
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 $994.85 / $1,274.64 / $2,522.61	Professional		$994.85	$1,274.64	$2,522.61