Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $680.00 / $1,140.00 / $2,575.00	Facility		$680.00	$1,140.00	$2,575.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.70 / $1,302.36 / $5,071.04	Professional		$289.70	$1,302.36	$5,071.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,861.77 / $5,861.77 / $5,861.77	Facility		$5,861.77	$5,861.77	$5,861.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,310.00 / $1,310.00 / $5,861.77	Professional		$1,310.00	$1,310.00	$5,861.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,888.72 / $3,888.72 / $5,464.99	Facility		$3,888.72	$3,888.72	$5,464.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.18 / $762.48 / $2,191.29	Professional		$368.18	$762.48	$2,191.29
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 $1,185.00 / $5,261.00 / $10,455.00	Facility		$1,185.00	$5,261.00	$10,455.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,125.19 / $1,663.21 / $2,945.84	Professional		$1,125.19	$1,663.21	$2,945.84