Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.90 / $8,783.00 / $16,639.00	Facility		$787.90	$8,783.00	$16,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.63 / $707.81 / $952.04	Professional		$631.63	$707.81	$952.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,285.00 / $6,765.00 / $16,114.11	Facility		$3,285.00	$6,765.00	$16,114.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $642.80 / $782.25 / $1,325.15	Professional		$642.80	$782.25	$1,325.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $784.14 / $784.14 / $890.00	Facility		$784.14	$784.14	$890.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.72 / $969.77 / $1,522.61	Professional		$784.72	$969.77	$1,522.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $762.05 / $972.48 / $1,505.32	Facility		$762.05	$972.48	$1,505.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $485.82 / $923.30	Professional		$75.30	$485.82	$923.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $10,257.00 / $16,249.00	Facility		$1,550.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $571.08 / $782.54 / $1,634.15	Professional		$571.08	$782.54	$1,634.15