Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.00 / $1,502.00 / $2,409.69	Facility		$740.00	$1,502.00	$2,409.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.86 / $1,074.63 / $2,409.69	Professional		$766.86	$1,074.63	$2,409.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,672.14 / $1,672.14 / $1,672.14	Facility		$1,672.14	$1,672.14	$1,672.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,251.00 / $1,251.00 / $1,251.00	Professional		$1,251.00	$1,251.00	$1,251.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,459.30 / $1,633.67 / $3,031.86	Facility		$1,459.30	$1,633.67	$3,031.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.81 / $1,449.71 / $1,936.61	Professional		$880.81	$1,449.71	$1,936.61
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 $717.00 / $2,148.00 / $6,612.00	Facility		$717.00	$2,148.00	$6,612.00
United Facility/Professional Professional Modifier Low / Median / High Price $741.83 / $1,066.13 / $2,368.42	Professional		$741.83	$1,066.13	$2,368.42