Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.00 / $1,229.95 / $2,568.27	Facility		$634.00	$1,229.95	$2,568.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.74 / $993.24 / $2,568.27	Professional		$514.74	$993.24	$2,568.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,743.60 / $1,743.60 / $1,743.60	Facility		$1,743.60	$1,743.60	$1,743.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,390.00 / $1,390.00 / $1,676.54	Professional		$1,390.00	$1,390.00	$1,676.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.53 / $1,643.53 / $3,776.47	Facility		$1,643.53	$1,643.53	$3,776.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $649.64 / $978.66 / $1,364.08	Professional		$649.64	$978.66	$1,364.08
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 $860.00 / $2,913.00 / $7,175.00	Facility		$860.00	$2,913.00	$7,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $545.63 / $806.53 / $1,492.65	Professional		$545.63	$806.53	$1,492.65