Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,320.00 / $3,024.33	Facility		$750.00	$1,320.00	$3,024.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.29 / $3,024.33 / $3,067.08	Professional		$1,047.29	$3,024.33	$3,067.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,204.00 / $2,204.00 / $2,204.00	Professional		$2,204.00	$2,204.00	$2,204.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,097.28 / $1,906.55 / $2,489.34	Professional		$1,097.28	$1,906.55	$2,489.34
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 $690.00 / $1,223.00 / $4,093.00	Facility		$690.00	$1,223.00	$4,093.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,087.95 / $1,591.01 / $2,503.12	Professional		$1,087.95	$1,591.01	$2,503.12