Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.15 / $1,140.00 / $1,836.00	Facility		$541.15	$1,140.00	$1,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.92 / $500.28 / $1,249.56	Professional		$401.92	$500.28	$1,249.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $586.65 / $586.65 / $586.65	Professional	50	$586.65	$586.65	$586.65
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 $1,143.00 / $1,143.00 / $1,143.00	Professional		$1,143.00	$1,143.00	$1,143.00
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 $397.37 / $602.01 / $1,031.41	Professional		$397.37	$602.01	$1,031.41
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 $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 $442.06 / $579.36 / $1,059.33	Professional		$442.06	$579.36	$1,059.33