Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,819.70 / $1,995.26	Facility		$602.56	$1,819.70	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,148.15	Professional		$446.68	$660.69	$1,148.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $501.19 / $1,513.56 / $1,905.46	Professional	50	$501.19	$1,513.56	$1,905.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $2,691.53	Facility		$1,071.52	$1,071.52	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $1,174.90	Professional		$446.68	$676.08	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,691.53 / $6,025.60	Facility		$812.83	$2,691.53	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $1,230.27	Professional		$467.74	$616.60	$1,230.27