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 / $4,260.74	Facility		$784.00	$1,831.00	$4,260.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,783.13 / $3,428.62 / $8,896.87	Professional		$1,783.13	$3,428.62	$8,896.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,485.80 / $3,485.80 / $3,485.80	Professional		$3,485.80	$3,485.80	$3,485.80
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 $1,459.03 / $3,043.34 / $4,795.56	Professional		$1,459.03	$3,043.34	$4,795.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $42.50 / $50.00	Professional		$38.25	$42.50	$50.00
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 $1,846.52 / $2,954.43 / $5,696.30	Professional		$1,846.52	$2,954.43	$5,696.30