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 $1,094.78 / $1,210.60 / $2,718.50	Professional		$1,094.78	$1,210.60	$2,718.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,932.00 / $1,932.00 / $1,932.00	Professional		$1,932.00	$1,932.00	$1,932.00
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 $1,179.58 / $1,929.38 / $2,618.35	Professional		$1,179.58	$1,929.38	$2,618.35
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 $1,052.39 / $1,391.56 / $2,757.51	Professional		$1,052.39	$1,391.56	$2,757.51