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 / $2,825.00	Facility		$875.00	$1,831.00	$2,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,138.65 / $1,259.77 / $2,828.44	Professional		$1,138.65	$1,259.77	$2,828.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,490.00 / $2,490.00 / $2,490.00	Professional		$2,490.00	$2,490.00	$2,490.00
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 $1,227.29 / $2,003.41 / $2,772.06	Professional		$1,227.29	$2,003.41	$2,772.06
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 $1,152.20 / $1,461.48 / $2,958.04	Professional		$1,152.20	$1,461.48	$2,958.04