Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,318.26 / $2,818.38	Facility		$676.08	$1,318.26	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $2,187.76 / $4,073.80	Professional		$812.83	$2,187.76	$4,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $1,000.00	Facility		$194.98	$194.98	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.12 / $39.81	Professional		$21.38	$25.12	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $562.34 / $1,621.81	Facility		$309.03	$562.34	$1,621.81