Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $9,062.00 / $20,498.00	Facility		$367.50	$9,062.00	$20,498.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $367.50 / $367.50	Professional		$367.50	$367.50	$367.50
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 $250.00 / $257.12 / $265.00	Professional		$250.00	$257.12	$265.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $367.50 / $496.13	Facility		$367.50	$367.50	$496.13
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 $2,155.00 / $12,798.00 / $19,665.00	Facility		$2,155.00	$12,798.00	$19,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,405.00 / $1,405.00 / $1,405.00	Professional		$1,405.00	$1,405.00	$1,405.00