Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $993.00 / $1,831.00	Facility		$500.00	$993.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.97 / $821.35 / $1,710.72	Professional		$733.97	$821.35	$1,710.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,371.58 / $1,371.58 / $1,371.58	Facility		$1,371.58	$1,371.58	$1,371.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,354.00 / $1,354.00 / $1,354.00	Professional		$1,354.00	$1,354.00	$1,354.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,442.59 / $1,442.59 / $6,486.26	Facility		$1,442.59	$1,442.59	$6,486.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $783.95 / $1,165.21 / $1,647.83	Professional		$783.95	$1,165.21	$1,647.83
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 / $3,428.00 / $9,302.00	Facility		$985.00	$3,428.00	$9,302.00
United Facility/Professional Professional Modifier Low / Median / High Price $779.82 / $1,087.97 / $1,988.82	Professional		$779.82	$1,087.97	$1,988.82