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 / $1,980.00	Facility		$750.00	$1,320.00	$1,980.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.02 / $1,249.40 / $1,764.62	Professional		$644.02	$1,249.40	$1,764.62
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 $1,297.00 / $1,297.00 / $1,297.00	Professional		$1,297.00	$1,297.00	$1,297.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.02 / $993.02 / $993.02	Facility		$993.02	$993.02	$993.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.11 / $1,140.77 / $1,563.33	Professional		$659.11	$1,140.77	$1,563.33
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 $652.41 / $872.50 / $1,504.15	Professional		$652.41	$872.50	$1,504.15