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 / $2,825.00	Facility		$784.00	$1,831.00	$2,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,113.55 / $2,039.56 / $5,556.03	Professional		$1,113.55	$2,039.56	$5,556.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,065.00 / $3,065.00 / $3,065.00	Professional		$3,065.00	$3,065.00	$3,065.00
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 $1,203.30 / $2,011.83 / $3,076.91	Professional		$1,203.30	$2,011.83	$3,076.91
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 $1,183.43 / $1,585.99 / $3,237.44	Professional		$1,183.43	$1,585.99	$3,237.44