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 $1,174.90 / $2,267.30 / $5,862.15	Professional		$1,174.90	$2,267.30	$5,862.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,602.00 / $2,602.00 / $2,602.00	Professional		$2,602.00	$2,602.00	$2,602.00
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 $1,312.46 / $2,185.10 / $3,250.52	Professional		$1,312.46	$2,185.10	$3,250.52
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 $1,250.20 / $1,736.64 / $3,460.44	Professional		$1,250.20	$1,736.64	$3,460.44