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 $1,038.33 / $1,150.10 / $2,578.75	Professional		$1,038.33	$1,150.10	$2,578.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,138.00 / $2,138.00 / $2,138.00	Professional		$2,138.00	$2,138.00	$2,138.00
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 $1,120.72 / $1,829.09 / $2,538.07	Professional		$1,120.72	$1,829.09	$2,538.07
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 $1,050.05 / $1,324.55 / $2,721.79	Professional		$1,050.05	$1,324.55	$2,721.79