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 / $4,226.68	Facility		$784.00	$1,831.00	$4,226.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,768.88 / $2,371.51 / $8,825.78	Professional		$1,768.88	$2,371.51	$8,825.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,636.00 / $4,636.00 / $4,636.00	Professional		$4,636.00	$4,636.00	$4,636.00
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 $1,915.23 / $3,199.31 / $4,893.06	Professional		$1,915.23	$3,199.31	$4,893.06
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 / $8,817.00	Facility		$690.00	$1,236.00	$8,817.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,881.95 / $2,540.90 / $5,148.34	Professional		$1,881.95	$2,540.90	$5,148.34