Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.92 / $4,230.00 / $9,727.00	Facility		$668.92	$4,230.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.73 / $668.92 / $971.08	Professional		$580.73	$668.92	$971.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,771.58 / $4,057.00 / $6,811.41	Facility		$1,771.58	$4,057.00	$6,811.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.00 / $561.66 / $875.27	Professional		$398.00	$561.66	$875.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $780.00 / $1,074.83	Facility		$505.00	$780.00	$1,074.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.75 / $849.67 / $1,503.90	Professional		$538.75	$849.67	$1,503.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $516.79 / $796.01 / $1,363.15	Facility		$516.79	$796.01	$1,363.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $829.05 / $829.05 / $829.05	Professional		$829.05	$829.05	$829.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.36 / $480.02 / $900.34	Professional		$73.36	$480.02	$900.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $4,877.00 / $9,900.00	Facility		$1,471.00	$4,877.00	$9,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $544.66 / $746.76 / $1,571.13	Professional		$544.66	$746.76	$1,571.13