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 $1,281.73 / $1,477.17 / $3,185.83	Professional		$1,281.73	$1,477.17	$3,185.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,633.00 / $2,633.00 / $2,633.00	Professional		$2,633.00	$2,633.00	$2,633.00
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 $1,379.72 / $2,263.13 / $3,168.62	Professional		$1,379.72	$2,263.13	$3,168.62
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 $1,300.67 / $1,739.84 / $3,796.44	Professional		$1,300.67	$1,739.84	$3,796.44