Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.92 / $1,708.85 / $1,980.00	Facility		$796.92	$1,708.85	$1,980.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.12 / $871.37 / $1,930.67	Professional		$784.12	$871.37	$1,930.67
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 $1,364.00 / $1,364.00 / $1,364.00	Professional		$1,364.00	$1,364.00	$1,364.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,459.30 / $1,633.67 / $3,843.23	Facility		$1,459.30	$1,633.67	$3,843.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.38 / $1,356.96 / $1,752.72	Professional		$849.38	$1,356.96	$1,752.72
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 $785.93 / $1,005.15 / $2,054.75	Professional		$785.93	$1,005.15	$2,054.75