Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.00 / $1,453.33 / $2,052.64	Facility		$740.00	$1,453.33	$2,052.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $749.14 / $1,453.33 / $2,052.64	Professional		$749.14	$1,453.33	$2,052.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,026.61 / $1,026.61 / $1,026.61	Facility		$1,026.61	$1,026.61	$1,026.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,577.00 / $1,577.00 / $1,577.00	Professional		$1,577.00	$1,577.00	$1,577.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.02 / $993.02 / $3,886.85	Facility		$993.02	$993.02	$3,886.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.30 / $1,337.65 / $1,916.45	Professional		$767.30	$1,337.65	$1,916.45
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 $860.00 / $2,717.00 / $7,175.00	Facility		$860.00	$2,717.00	$7,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $767.30 / $1,018.38 / $2,074.60	Professional		$767.30	$1,018.38	$2,074.60