Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.53 / $5,373.19 / $17,247.00	Facility		$902.53	$5,373.19	$17,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.57 / $3,374.21 / $4,591.56	Professional		$767.57	$3,374.21	$4,591.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,792.31 / $9,578.99 / $16,900.34	Facility		$3,792.31	$9,578.99	$16,900.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.30 / $1,414.04 / $4,924.43	Professional		$779.30	$1,414.04	$4,924.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,130.00 / $1,349.47 / $6,304.18	Facility		$1,130.00	$1,349.47	$6,304.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.40 / $2,199.60 / $7,180.50	Professional		$988.40	$2,199.60	$7,180.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $902.53 / $1,904.24 / $6,961.68	Facility		$902.53	$1,904.24	$6,961.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,495.14 / $5,495.14 / $5,495.14	Professional		$5,495.14	$5,495.14	$5,495.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $442.30 / $2,770.70 / $5,140.27	Professional		$442.30	$2,770.70	$5,140.27
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 $3,174.98 / $4,195.05 / $8,980.90	Professional		$3,174.98	$4,195.05	$8,980.90