Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.65 / $935.00 / $1,831.00	Facility		$424.65	$935.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.55 / $771.25 / $1,163.54	Professional		$397.55	$771.25	$1,163.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,292.64 / $1,292.64 / $1,292.64	Facility		$1,292.64	$1,292.64	$1,292.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $848.00 / $848.00 / $848.00	Professional		$848.00	$848.00	$848.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.39 / $1,243.39 / $2,844.49	Facility		$1,243.39	$1,243.39	$2,844.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.35 / $742.54 / $975.20	Professional		$427.35	$742.54	$975.20
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 / $2,074.64 / $6,150.00	Facility		$700.00	$2,074.64	$6,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.09 / $566.46 / $1,178.08	Professional		$422.09	$566.46	$1,178.08