Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.00 / $1,502.00 / $2,575.00	Facility		$706.00	$1,502.00	$2,575.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.48 / $463.24 / $1,081.86	Professional		$353.48	$463.24	$1,081.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,552.85 / $4,552.85 / $4,552.85	Facility		$4,552.85	$4,552.85	$4,552.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $840.00 / $840.00 / $4,552.85	Professional		$840.00	$840.00	$4,552.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,121.00 / $5,941.21 / $7,122.47	Facility		$1,121.00	$5,941.21	$7,122.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.17 / $645.48 / $891.40	Professional		$375.17	$645.48	$891.40
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 $1,185.00 / $5,261.00 / $11,325.00	Facility		$1,185.00	$5,261.00	$11,325.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.04 / $492.90 / $1,020.94	Professional		$340.04	$492.90	$1,020.94