Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.60 / $4,230.00 / $9,727.00	Facility		$776.60	$4,230.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.17 / $776.60 / $1,120.06	Professional		$696.17	$776.60	$1,120.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,195.92 / $4,091.61 / $6,879.85	Facility		$2,195.92	$4,091.61	$6,879.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $665.54 / $783.30 / $1,101.84	Professional		$665.54	$783.30	$1,101.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,965.14 / $1,965.14 / $1,965.14	Facility		$1,965.14	$1,965.14	$1,965.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.51 / $866.02 / $1,175.80	Professional		$659.51	$866.02	$1,175.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $845.00 / $1,196.94	Facility		$669.00	$845.00	$1,196.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,606.69 / $1,606.69 / $1,606.69	Professional		$1,606.69	$1,606.69	$1,606.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.39 / $577.70 / $954.54	Professional		$97.39	$577.70	$954.54
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,607.00 / $8,667.00	Facility		$659.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $629.04 / $829.95 / $1,452.41	Professional		$629.04	$829.95	$1,452.41