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 $531.91 / $859.86 / $1,457.43	Professional		$531.91	$859.86	$1,457.43
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 $1,092.00 / $1,092.00 / $1,092.00	Professional		$1,092.00	$1,092.00	$1,092.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,712.45 / $1,712.45 / $3,151.25	Facility		$1,712.45	$1,712.45	$3,151.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.89 / $942.84 / $1,229.70	Professional		$542.89	$942.84	$1,229.70
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 / $2,781.00 / $6,884.86	Facility		$700.00	$2,781.00	$6,884.86
United Facility/Professional Professional Modifier Low / Median / High Price $525.57 / $668.00 / $1,384.56	Professional		$525.57	$668.00	$1,384.56