Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $667.13 / $1,320.00 / $2,871.00	Facility		$667.13	$1,320.00	$2,871.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $357.32 / $500.35 / $1,155.34	Facility	54	$357.32	$500.35	$1,155.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.35 / $627.99 / $1,540.47	Professional		$412.35	$627.99	$1,540.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,088.02 / $1,088.02 / $1,088.02	Facility		$1,088.02	$1,088.02	$1,088.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,035.00 / $1,035.00 / $1,035.00	Professional		$1,035.00	$1,035.00	$1,035.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,061.42 / $1,173.42 / $2,668.68	Facility		$1,061.42	$1,173.42	$2,668.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.16 / $710.02 / $1,208.53	Professional		$462.16	$710.02	$1,208.53
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 $700.00 / $2,062.00 / $6,150.00	Facility		$700.00	$2,062.00	$6,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $580.92 / $730.00 / $1,362.93	Professional		$580.92	$730.00	$1,362.93