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 $1,099.22 / $1,217.18 / $2,786.95	Professional		$1,099.22	$1,217.18	$2,786.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,256.00 / $2,256.00 / $2,256.00	Professional		$2,256.00	$2,256.00	$2,256.00
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 $1,198.59 / $1,969.97 / $2,716.14	Professional		$1,198.59	$1,969.97	$2,716.14
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 $1,129.08 / $1,426.47 / $2,921.54	Professional		$1,129.08	$1,426.47	$2,921.54