Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $985.65 / $9,062.00 / $20,498.00	Facility		$985.65	$9,062.00	$20,498.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.92 / $929.09 / $985.65	Professional		$801.92	$929.09	$985.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,388.54 / $5,405.49 / $8,981.33	Facility		$2,388.54	$5,405.49	$8,981.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,200.28 / $3,200.28 / $3,200.28	Facility		$3,200.28	$3,200.28	$3,200.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $759.49 / $1,004.41 / $1,386.73	Professional		$759.49	$1,004.41	$1,386.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $847.32 / $985.65 / $1,296.92	Facility		$847.32	$985.65	$1,296.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,872.87 / $2,872.87 / $2,872.87	Professional		$2,872.87	$2,872.87	$2,872.87
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 $2,694.54 / $12,269.00 / $19,591.00	Facility		$2,694.54	$12,269.00	$19,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $681.43 / $879.34 / $1,504.03	Professional		$681.43	$879.34	$1,504.03