Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,819.70 / $2,884.03	Facility		$776.25	$1,819.70	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,584.89 / $2,951.21	Professional		$380.19	$1,584.89	$2,951.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,288.25 / $3,467.37	Professional		$380.19	$1,288.25	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $6,025.60 / $11,481.54	Facility		$1,174.90	$6,025.60	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,737.80 / $3,890.45	Professional		$363.08	$1,737.80	$3,890.45