Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,000.00 / $18,197.01	Facility		$4,168.69	$10,000.00	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $2,818.38	Professional		$1,380.38	$1,584.89	$2,818.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $27,542.29 / $51,286.14	Facility		$10,964.78	$27,542.29	$51,286.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $2,884.03	Professional		$1,380.38	$1,949.84	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,630.27 / $14,791.08	Facility		$891.25	$2,630.27	$14,791.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $3,467.37	Professional		$1,621.81	$2,137.96	$3,467.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $3,235.94	Facility		$1,513.56	$1,949.84	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $17,378.01 / $37,153.52	Facility		$6,456.54	$17,378.01	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $2,818.38	Professional		$1,258.93	$1,621.81	$2,818.38