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 $1,064.14 / $1,180.64 / $2,640.12	Professional		$1,064.14	$1,180.64	$2,640.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,108.00 / $2,108.00 / $2,108.00	Professional		$2,108.00	$2,108.00	$2,108.00
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 $1,149.66 / $1,870.64 / $2,567.35	Professional		$1,149.66	$1,870.64	$2,567.35
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 $1,077.34 / $1,355.42 / $2,745.28	Professional		$1,077.34	$1,355.42	$2,745.28