Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.72 / $5,866.00 / $16,467.00	Facility		$723.72	$5,866.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.79 / $650.75 / $846.99	Professional		$582.79	$650.75	$846.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,753.73 / $4,006.27 / $6,738.82	Facility		$1,753.73	$4,006.27	$6,738.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $622.07 / $989.86	Professional		$540.00	$622.07	$989.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $723.51 / $1,370.63	Facility		$505.00	$723.51	$1,370.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.54 / $829.58 / $1,398.58	Professional		$518.54	$829.58	$1,398.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $578.38 / $723.72 / $1,389.40	Facility		$578.38	$723.72	$1,389.40
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 / $462.74 / $844.74	Professional		$75.30	$462.74	$844.74
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 $498.46 / $642.64 / $1,502.07	Professional		$498.46	$642.64	$1,502.07