Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.00 / $1,502.00 / $2,825.00	Facility		$740.00	$1,502.00	$2,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.14 / $3,051.52 / $3,570.93	Professional		$1,412.14	$3,051.52	$3,570.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,832.00 / $2,832.00 / $2,832.00	Professional		$2,832.00	$2,832.00	$2,832.00
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 $1,617.92 / $2,426.87 / $3,364.72	Professional		$1,617.92	$2,426.87	$3,364.72
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 $1,553.61 / $2,021.27 / $3,692.26	Professional		$1,553.61	$2,021.27	$3,692.26