Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $994.65 / $9,062.00 / $18,276.00	Facility		$994.65	$9,062.00	$18,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $994.65 / $1,042.69 / $1,395.28	Professional		$994.65	$1,042.69	$1,395.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,093.03 / $11,453.79 / $32,474.74	Facility		$6,093.03	$11,453.79	$32,474.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.00 / $890.00 / $1,260.85	Facility		$890.00	$890.00	$1,260.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,251.05 / $5,251.05 / $5,251.05	Professional		$5,251.05	$5,251.05	$5,251.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $994.65 / $1,036.90 / $1,690.91	Facility		$994.65	$1,036.90	$1,690.91
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 $3,028.00 / $19,526.00 / $24,161.00	Facility		$3,028.00	$19,526.00	$24,161.00
United Facility/Professional Professional Modifier Low / Median / High Price $915.23 / $1,250.76 / $2,256.94	Professional		$915.23	$1,250.76	$2,256.94