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 $556.00 / $843.00 / $1,831.00	Professional		$556.00	$843.00	$1,831.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.00 / $381.00 / $381.00	Professional		$381.00	$381.00	$381.00
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 $385.00 / $385.00 / $385.00	Professional		$385.00	$385.00	$385.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $20.00 / $25.00	Professional		$17.00	$20.00	$25.00
United Facility/Professional Facility Modifier Low / Median / High Price $446.00 / $823.00 / $2,011.00	Facility		$446.00	$823.00	$2,011.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $43.00 / $43.00	Professional		$43.00	$43.00	$43.00