Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $950.00 / $1,831.00	Facility		$461.00	$950.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.82 / $943.77 / $957.11	Professional		$326.82	$943.77	$957.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,569.15 / $2,569.15 / $2,569.15	Facility		$2,569.15	$2,569.15	$2,569.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $703.00 / $703.00 / $703.00	Professional		$703.00	$703.00	$703.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,608.65 / $2,608.65 / $3,625.40	Facility		$2,608.65	$2,608.65	$3,625.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.88 / $594.28 / $783.01	Professional		$343.88	$594.28	$783.01
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 $700.00 / $2,361.00 / $6,928.00	Facility		$700.00	$2,361.00	$6,928.00
United Facility/Professional Professional Modifier Low / Median / High Price $343.88 / $500.45 / $934.29	Professional		$343.88	$500.45	$934.29