Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $993.00 / $4,899.89	Facility		$475.00	$993.00	$4,899.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.64 / $917.68 / $2,317.89	Professional		$341.64	$917.68	$2,317.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,790.06 / $1,790.06 / $1,790.06	Facility		$1,790.06	$1,790.06	$1,790.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $626.00 / $626.00 / $626.00	Professional		$626.00	$626.00	$626.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,712.45 / $1,712.45 / $3,625.40	Facility		$1,712.45	$1,712.45	$3,625.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.45 / $764.01 / $1,588.20	Professional		$397.45	$764.01	$1,588.20
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 / $2,062.00 / $6,150.00	Facility		$700.00	$2,062.00	$6,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $796.83 / $1,171.44 / $2,205.55	Professional		$796.83	$1,171.44	$2,205.55