Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.81 / $4,230.00 / $9,727.00	Facility		$498.81	$4,230.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.96 / $517.66 / $732.15	Professional		$448.96	$517.66	$732.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $584.09 / $1,063.98 / $1,835.00	Facility		$584.09	$1,063.98	$1,835.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $424.61 / $642.82	Professional		$304.00	$424.61	$642.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $505.00 / $536.76	Facility		$505.00	$505.00	$536.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.36 / $559.97 / $770.03	Professional		$422.36	$559.97	$770.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $368.58 / $548.69 / $777.85	Facility		$368.58	$548.69	$777.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $427.30 / $427.30 / $427.30	Professional		$427.30	$427.30	$427.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $395.04 / $642.78	Professional		$65.88	$395.04	$642.78
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $423.65 / $557.92 / $1,038.97	Professional		$423.65	$557.92	$1,038.97