Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,831.00 / $3,300.00	Facility		$875.00	$1,831.00	$3,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,162.54 / $2,436.34 / $5,496.63	Professional		$2,162.54	$2,436.34	$5,496.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,852.00 / $2,852.00 / $2,852.00	Professional		$2,852.00	$2,852.00	$2,852.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,315.16 / $3,571.80 / $4,946.92	Professional		$2,315.16	$3,571.80	$4,946.92
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 $1,185.00 / $5,800.00 / $14,043.00	Facility		$1,185.00	$5,800.00	$14,043.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,891.39 / $2,724.73 / $5,424.10	Professional		$1,891.39	$2,724.73	$5,424.10