Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $9,120.11 / $16,595.87	Facility		$2,691.53	$9,120.11	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,862.09	Professional		$891.25	$1,047.13	$1,862.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $10,000.00 / $19,054.61	Facility		$4,265.80	$10,000.00	$19,054.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,905.46	Professional		$933.25	$1,288.25	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $891.25 / $2,570.40	Facility		$575.44	$891.25	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $2,238.72	Professional		$1,023.29	$1,412.54	$2,238.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,344.23	Professional		$1,995.26	$1,995.26	$2,344.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,344.23	Facility		$1,000.00	$1,412.54	$2,344.23
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 $3,630.78 / $16,982.44 / $25,703.96	Facility		$3,630.78	$16,982.44	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,819.70	Professional		$831.76	$1,047.13	$1,819.70