Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.16 / $7,182.00 / $16,467.00	Facility		$331.16	$7,182.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.16 / $347.17 / $444.68	Professional		$331.16	$347.17	$444.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,892.28 / $3,035.81 / $4,047.75	Facility		$2,892.28	$3,035.81	$4,047.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.04 / $658.39 / $857.48	Professional		$627.04	$658.39	$857.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $417.74 / $890.00 / $3,738.39	Facility		$417.74	$890.00	$3,738.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,646.42 / $1,646.42 / $1,646.42	Professional		$1,646.42	$1,646.42	$1,646.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $331.16 / $342.57 / $596.75	Facility		$331.16	$342.57	$596.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,792.37 / $2,792.37 / $2,792.37	Professional		$2,792.37	$2,792.37	$2,792.37
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 $2,155.00 / $12,456.00 / $19,591.00	Facility		$2,155.00	$12,456.00	$19,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.89 / $421.74 / $870.42	Professional		$304.89	$421.74	$870.42