Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $782.18 / $9,863.00 / $26,615.48	Facility		$782.18	$9,863.00	$26,615.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.96 / $782.18 / $1,914.75	Professional		$640.96	$782.18	$1,914.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,814.59 / $7,427.01 / $13,707.32	Facility		$3,814.59	$7,427.01	$13,707.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $859.00 / $929.52 / $1,510.38	Professional		$859.00	$929.52	$1,510.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $560.00 / $615.00	Facility		$100.00	$560.00	$615.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.27 / $1,357.79 / $4,119.12	Professional		$1,133.27	$1,357.79	$4,119.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $695.22 / $756.92 / $1,365.72	Facility		$695.22	$756.92	$1,365.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $695.22 / $695.22 / $695.22	Professional		$695.22	$695.22	$695.22
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 Facility Modifier Low / Median / High Price $870.00 / $12,269.00 / $19,591.00	Facility		$870.00	$12,269.00	$19,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.29 / $698.27 / $1,419.87	Professional		$245.29	$698.27	$1,419.87