Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.96 / $5,373.20 / $16,467.00	Facility		$790.96	$5,373.20	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.82 / $722.68 / $1,754.32	Professional		$631.82	$722.68	$1,754.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,717.57 / $10,098.54 / $16,900.34	Facility		$4,717.57	$10,098.54	$16,900.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $643.45 / $933.00 / $1,549.27	Professional		$643.45	$933.00	$1,549.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $783.40 / $815.00 / $890.00	Facility		$783.40	$815.00	$890.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $760.49 / $941.00 / $1,707.84	Professional		$760.49	$941.00	$1,707.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $778.57 / $949.15 / $1,527.29	Facility		$778.57	$949.15	$1,527.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $517.38 / $952.88	Professional		$75.30	$517.38	$952.88
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 $537.83 / $736.55 / $1,556.98	Professional		$537.83	$736.55	$1,556.98