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 / $2,685.42	Facility		$740.00	$1,502.00	$2,685.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,229.22 / $1,356.50 / $3,034.01	Professional		$1,229.22	$1,356.50	$3,034.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,644.37 / $3,644.37 / $3,644.37	Facility		$3,644.37	$3,644.37	$3,644.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,509.00 / $2,509.00 / $2,509.00	Professional		$2,509.00	$2,509.00	$2,509.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,244.37 / $3,632.03 / $4,015.30	Facility		$3,244.37	$3,632.03	$4,015.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,321.74 / $2,098.07 / $2,840.44	Professional		$1,321.74	$2,098.07	$2,840.44
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 $1,209.95 / $1,479.14 / $3,131.22	Professional		$1,209.95	$1,479.14	$3,131.22