Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.00 / $1,831.00 / $4,002.30	Facility		$784.00	$1,831.00	$4,002.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.82 / $1,445.26 / $1,691.27	Professional		$668.82	$1,445.26	$1,691.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,665.14 / $4,665.14 / $4,665.14	Facility		$4,665.14	$4,665.14	$4,665.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,075.00 / $1,075.00 / $1,075.00	Professional		$1,075.00	$1,075.00	$1,075.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,065.01 / $5,065.01 / $5,065.01	Facility		$5,065.01	$5,065.01	$5,065.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.44 / $1,166.99 / $1,671.79	Professional		$772.44	$1,166.99	$1,671.79
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 $1,185.00 / $5,261.00 / $14,043.00	Facility		$1,185.00	$5,261.00	$14,043.00
United Facility/Professional Professional Modifier Low / Median / High Price $777.99 / $1,027.90 / $2,065.03	Professional		$777.99	$1,027.90	$2,065.03