Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $1,831.00 / $2,281.25	Facility		$850.00	$1,831.00	$2,281.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,038.22 / $1,155.85 / $2,577.37	Professional		$1,038.22	$1,155.85	$2,577.37
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 $1,997.00 / $1,997.00 / $1,997.00	Professional		$1,997.00	$1,997.00	$1,997.00
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 $1,125.15 / $1,761.46 / $2,370.19	Professional		$1,125.15	$1,761.46	$2,370.19
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 $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 $1,020.60 / $1,260.74 / $2,661.80	Professional		$1,020.60	$1,260.74	$2,661.80