Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.14 / $8,783.00 / $16,639.00	Facility		$1,045.14	$8,783.00	$16,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $832.83 / $939.12 / $1,249.16	Professional		$832.83	$939.12	$1,249.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,717.57 / $9,950.93 / $16,952.09	Facility		$4,717.57	$9,950.93	$16,952.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $848.71 / $1,088.00 / $1,913.03	Professional		$848.71	$1,088.00	$1,913.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.00 / $1,032.63 / $4,769.93	Facility		$890.00	$1,032.63	$4,769.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.97 / $1,216.08 / $2,031.09	Professional		$970.97	$1,216.08	$2,031.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $939.30 / $1,209.69 / $2,013.95	Facility		$939.30	$1,209.69	$2,013.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,851.65 / $3,851.65 / $3,851.65	Professional		$3,851.65	$3,851.65	$3,851.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $667.52 / $1,232.48	Professional		$75.06	$667.52	$1,232.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,223.00 / $23,485.00	Facility		$2,912.00	$16,223.00	$23,485.00
United Facility/Professional Professional Modifier Low / Median / High Price $756.27 / $983.28 / $2,053.37	Professional		$756.27	$983.28	$2,053.37