Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.00 / $1,831.00 / $2,825.00	Facility		$784.00	$1,831.00	$2,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,143.54 / $1,497.33 / $3,572.44	Professional		$1,143.54	$1,497.33	$3,572.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,957.42 / $4,957.42 / $4,957.42	Facility		$4,957.42	$4,957.42	$4,957.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,650.00 / $1,650.00 / $4,766.75	Professional		$1,650.00	$1,650.00	$4,766.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.00 / $1,000.00 / $14,033.02	Facility		$588.00	$1,000.00	$14,033.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,198.21 / $1,872.99 / $2,558.27	Professional		$1,198.21	$1,872.99	$2,558.27
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 $1,360.00 / $8,363.00 / $16,556.00	Facility		$1,360.00	$8,363.00	$16,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,124.90 / $1,548.39 / $3,227.73	Professional		$1,124.90	$1,548.39	$3,227.73