Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.42 / $4,230.00 / $9,727.00	Facility		$658.42	$4,230.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $567.76 / $725.01 / $1,092.18	Professional		$567.76	$725.01	$1,092.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,811.35 / $3,883.00 / $6,529.00	Facility		$1,811.35	$3,883.00	$6,529.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.07 / $686.70 / $964.01	Professional		$564.07	$686.70	$964.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $505.00 / $1,604.11	Facility		$505.00	$505.00	$1,604.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.80 / $780.25 / $1,037.92	Professional		$567.80	$780.25	$1,037.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $588.57 / $778.96 / $1,092.03	Facility		$588.57	$778.96	$1,092.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,397.41 / $1,397.41 / $1,397.41	Professional		$1,397.41	$1,397.41	$1,397.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $517.08 / $834.03	Professional		$65.88	$517.08	$834.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,249.00 / $9,900.00	Facility		$1,689.00	$5,249.00	$9,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $594.94 / $735.29 / $1,286.76	Professional		$594.94	$735.29	$1,286.76