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 $1,227.03 / $1,356.64 / $3,049.12	Professional		$1,227.03	$1,356.64	$3,049.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,495.00 / $2,495.00 / $2,495.00	Professional		$2,495.00	$2,495.00	$2,495.00
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 $1,320.64 / $2,162.14 / $2,972.09	Professional		$1,320.64	$2,162.14	$2,972.09
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 $1,242.69 / $1,595.38 / $3,341.97	Professional		$1,242.69	$1,595.38	$3,341.97