Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.17 / $9,062.00 / $19,966.00	Facility		$1,214.17	$9,062.00	$19,966.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $968.73 / $1,100.00 / $1,467.12	Professional		$968.73	$1,100.00	$1,467.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,989.41 / $12,821.07 / $21,965.56	Facility		$5,989.41	$12,821.07	$21,965.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,027.67 / $1,439.00 / $2,333.41	Professional		$1,027.67	$1,439.00	$2,333.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $1,203.30 / $15,961.28	Facility		$815.00	$1,203.30	$15,961.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.54 / $1,432.80 / $2,346.38	Professional		$1,124.54	$1,432.80	$2,346.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,173.22 / $1,457.00 / $2,334.23	Facility		$1,173.22	$1,457.00	$2,334.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15,156.09 / $15,156.09 / $15,156.09	Professional		$15,156.09	$15,156.09	$15,156.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.57 / $765.86 / $1,411.02	Professional		$113.57	$765.86	$1,411.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,637.00 / $15,451.00 / $23,485.00	Facility		$3,637.00	$15,451.00	$23,485.00
United Facility/Professional Professional Modifier Low / Median / High Price $869.82 / $1,197.28 / $2,794.63	Professional		$869.82	$1,197.28	$2,794.63