Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,819.70 / $2,818.38	Facility		$776.25	$1,819.70	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,318.26	Facility		$1,000.00	$1,000.00	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.12 / $39.81	Professional		$21.38	$25.12	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,621.81 / $4,265.80	Facility		$630.96	$1,621.81	$4,265.80