Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.49 / $4,230.00 / $9,727.00	Facility		$489.49	$4,230.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.70 / $480.38 / $591.47	Professional		$410.70	$480.38	$591.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.89 / $1,069.18 / $2,212.19	Facility		$449.89	$1,069.18	$2,212.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.53 / $474.30 / $817.61	Professional		$422.53	$474.30	$817.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $730.13 / $1,370.63	Facility		$505.00	$730.13	$1,370.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.22 / $559.37 / $1,035.14	Professional		$423.22	$559.37	$1,035.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $437.83 / $582.49 / $938.15	Facility		$437.83	$582.49	$938.15
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 $36.68 / $347.18 / $656.58	Professional		$36.68	$347.18	$656.58
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,610.00 / $6,748.49	Facility		$225.00	$1,610.00	$6,748.49
United Facility/Professional Professional Modifier Low / Median / High Price $369.32 / $476.02 / $1,072.94	Professional		$369.32	$476.02	$1,072.94