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 / $2,825.00	Facility		$784.00	$1,831.00	$2,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,014.69 / $1,656.63 / $3,240.78	Professional		$1,014.69	$1,656.63	$3,240.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,406.99 / $1,406.99 / $1,406.99	Professional		$1,406.99	$1,406.99	$1,406.99
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 $1,055.38 / $1,449.20 / $2,127.41	Professional		$1,055.38	$1,449.20	$2,127.41
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 / $1,236.00 / $5,253.00	Facility		$690.00	$1,236.00	$5,253.00
United Facility/Professional Professional Modifier Low / Median / High Price $963.62 / $1,416.56 / $2,922.65	Professional		$963.62	$1,416.56	$2,922.65