Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.79 / $8,783.00 / $16,639.00	Facility		$644.79	$8,783.00	$16,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.61 / $568.34 / $733.58	Professional		$483.61	$568.34	$733.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,366.50 / $7,206.40 / $12,097.16	Facility		$3,366.50	$7,206.40	$12,097.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.66 / $660.16 / $1,128.83	Professional		$528.66	$660.16	$1,128.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $646.51 / $5,740.31	Facility		$580.00	$646.51	$5,740.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.84 / $744.21 / $1,246.07	Professional		$629.84	$744.21	$1,246.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $619.54 / $780.20 / $1,226.22	Facility		$619.54	$780.20	$1,226.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,727.33 / $4,727.33 / $4,727.33	Professional		$4,727.33	$4,727.33	$4,727.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $415.09 / $760.98	Professional		$75.30	$415.09	$760.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,456.00 / $19,591.00	Facility		$2,155.00	$12,456.00	$19,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $456.56 / $623.98 / $1,285.16	Professional		$456.56	$623.98	$1,285.16