Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,569.13 / $1,569.13 / $1,793.29	Facility		$1,569.13	$1,569.13	$1,793.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,569.13 / $1,793.29	Professional		$1,494.41	$1,569.13	$1,793.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $1,162.00 / $1,278.20	Facility		$1,162.00	$1,162.00	$1,278.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,162.00 / $1,162.00 / $1,162.00	Professional		$1,162.00	$1,162.00	$1,162.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,494.41	Facility		$1,494.41	$1,494.41	$1,494.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,494.41	Professional		$1,494.41	$1,494.41	$1,494.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,419.69 / $1,494.41 / $1,942.73	Professional		$1,419.69	$1,494.41	$1,942.73