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 $1,067.23 / $1,183.98 / $2,657.23	Professional		$1,067.23	$1,183.98	$2,657.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,190.00 / $2,190.00 / $2,190.00	Professional		$2,190.00	$2,190.00	$2,190.00
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 $1,153.33 / $1,880.09 / $2,624.03	Professional		$1,153.33	$1,880.09	$2,624.03
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 $1,024.30 / $1,365.73 / $2,815.86	Professional		$1,024.30	$1,365.73	$2,815.86