Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,799.00 / $2,871.00	Facility		$750.00	$1,799.00	$2,871.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $560.05 / $560.05 / $1,349.25	Facility	54	$560.05	$560.05	$1,349.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.75 / $880.37 / $1,799.00	Professional		$746.75	$880.37	$1,799.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,386.59 / $2,386.59 / $2,386.59	Facility		$2,386.59	$2,386.59	$2,386.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,705.00 / $1,705.00 / $1,705.00	Professional		$1,705.00	$1,705.00	$1,705.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,166.63 / $2,395.26 / $5,429.91	Facility		$2,166.63	$2,395.26	$5,429.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.05 / $1,239.85 / $2,293.96	Professional		$580.05	$1,239.85	$2,293.96
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 $985.00 / $3,572.00 / $10,251.00	Facility		$985.00	$3,572.00	$10,251.00
United Facility/Professional Professional Modifier Low / Median / High Price $869.51 / $1,091.72 / $2,172.94	Professional		$869.51	$1,091.72	$2,172.94