Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.25 / $9,062.00 / $16,639.00	Facility		$656.25	$9,062.00	$16,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $656.25 / $656.25	Professional		$49.00	$656.25	$656.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,388.54 / $5,405.49 / $9,383.48	Facility		$2,388.54	$5,405.49	$9,383.48
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 $150.00 / $159.00 / $257.12	Professional		$150.00	$159.00	$257.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $656.25 / $669.38 / $904.41	Facility		$656.25	$669.38	$904.41
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 $2,508.00 / $2,508.00 / $2,508.00	Professional		$2,508.00	$2,508.00	$2,508.00