Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.00 / $1,831.00 / $3,428.80	Facility		$784.00	$1,831.00	$3,428.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,434.96 / $2,763.66 / $7,159.71	Professional		$1,434.96	$2,763.66	$7,159.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,269.00 / $3,269.00 / $3,269.00	Professional		$3,269.00	$3,269.00	$3,269.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $31,086.00	Facility		$1,000.00	$1,000.00	$31,086.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,540.27 / $2,607.53 / $3,956.83	Professional		$1,540.27	$2,607.53	$3,956.83
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 $690.00 / $1,236.00 / $5,253.00	Facility		$690.00	$1,236.00	$5,253.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,526.52 / $2,046.57 / $4,176.01	Professional		$1,526.52	$2,046.57	$4,176.01