Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.00 / $1,502.00 / $2,202.50	Facility		$740.00	$1,502.00	$2,202.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.99 / $983.57 / $2,202.50	Professional		$886.99	$983.57	$2,202.50
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 $1,947.00 / $1,947.00 / $1,947.00	Professional		$1,947.00	$1,947.00	$1,947.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,459.30 / $1,633.67 / $1,806.07	Facility		$1,459.30	$1,633.67	$1,806.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $976.95 / $1,595.40 / $2,234.38	Professional		$976.95	$1,595.40	$2,234.38
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 $985.00 / $3,572.00 / $9,515.00	Facility		$985.00	$3,572.00	$9,515.00
United Facility/Professional Professional Modifier Low / Median / High Price $894.21 / $1,156.11 / $2,571.04	Professional		$894.21	$1,156.11	$2,571.04