Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.05 / $1,140.00 / $1,836.00	Facility		$625.05	$1,140.00	$1,836.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,036.63 / $3,036.63 / $3,036.63	Facility	50	$3,036.63	$3,036.63	$3,036.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.08 / $590.66 / $1,443.32	Professional		$425.08	$590.66	$1,443.32
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 $1,291.00 / $1,291.00 / $1,291.00	Professional		$1,291.00	$1,291.00	$1,291.00
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 $440.18 / $678.42 / $1,115.36	Professional		$440.18	$678.42	$1,115.36
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 $542.75 / $688.37 / $1,254.29	Professional		$542.75	$688.37	$1,254.29