Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,819.70 / $1,995.26	Facility		$776.25	$1,819.70	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $676.08 / $1,445.44	Professional		$588.84	$676.08	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,621.81	Professional		$1,288.25	$1,288.25	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $4,570.88	Facility		$1,621.81	$1,621.81	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $1,479.11	Professional		$676.08	$1,023.29	$1,479.11
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 $954.99 / $3,090.30 / $7,244.36	Facility		$954.99	$3,090.30	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,698.24	Professional		$575.44	$776.25	$1,698.24