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 / $2,825.00	Facility		$750.00	$1,320.00	$2,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,245.59 / $1,699.28 / $3,149.80	Professional		$1,245.59	$1,699.28	$3,149.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,903.00 / $2,903.00 / $2,903.00	Professional		$2,903.00	$2,903.00	$2,903.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,421.44 / $2,132.17 / $2,941.89	Professional		$1,421.44	$2,132.17	$2,941.89
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 $690.00 / $1,223.00 / $4,093.00	Facility		$690.00	$1,223.00	$4,093.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,359.09 / $1,879.15 / $3,243.87	Professional		$1,359.09	$1,879.15	$3,243.87