Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.10 / $4,375.00 / $16,467.00	Facility		$614.10	$4,375.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.99 / $552.74 / $839.14	Professional		$494.99	$552.74	$839.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,366.50 / $7,206.40 / $12,212.57	Facility		$3,366.50	$7,206.40	$12,212.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.61 / $635.00 / $1,116.52	Professional		$502.61	$635.00	$1,116.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $580.00 / $1,370.63	Facility		$375.00	$580.00	$1,370.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.87 / $704.74 / $1,186.74	Professional		$552.87	$704.74	$1,186.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $578.20 / $708.02 / $1,164.46	Facility		$578.20	$708.02	$1,164.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,168.83 / $1,168.83 / $1,168.83	Professional		$1,168.83	$1,168.83	$1,168.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $397.63 / $723.79	Professional		$75.30	$397.63	$723.79
United Facility/Professional Facility Modifier Low / Median / High Price $729.00 / $6,607.00 / $8,667.00	Facility		$729.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.11 / $592.79 / $1,265.42	Professional		$439.11	$592.79	$1,265.42