Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,831.00 / $2,825.00	Facility		$750.00	$1,831.00	$2,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.01 / $1,336.18 / $3,139.04	Professional		$1,023.01	$1,336.18	$3,139.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,521.31 / $3,521.31 / $3,521.31	Professional		$3,521.31	$3,521.31	$3,521.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.00 / $1,000.00 / $1,000.00	Facility		$588.00	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.31 / $1,652.63 / $2,699.75	Professional		$1,041.31	$1,652.63	$2,699.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $25.00 / $50.00	Professional		$17.00	$25.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $1,223.00 / $5,253.00	Facility		$624.00	$1,223.00	$5,253.00
United Facility/Professional Professional Modifier Low / Median / High Price $966.29 / $1,424.02 / $2,674.60	Professional		$966.29	$1,424.02	$2,674.60