Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $819.00 / $8,783.00 / $16,639.00	Facility		$819.00	$8,783.00	$16,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.82 / $736.09 / $944.05	Professional		$656.82	$736.09	$944.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,453.87 / $5,252.82 / $9,681.64	Facility		$2,453.87	$5,252.82	$9,681.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.33 / $862.00 / $1,515.65	Professional		$668.33	$862.00	$1,515.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $815.40 / $2,581.96	Facility		$580.00	$815.40	$2,581.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $788.47 / $943.89 / $1,582.72	Professional		$788.47	$943.89	$1,582.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $789.95 / $982.80 / $1,566.32	Facility		$789.95	$982.80	$1,566.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,144.91 / $2,144.91 / $2,144.91	Professional		$2,144.91	$2,144.91	$2,144.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $523.12 / $970.56	Professional		$75.30	$523.12	$970.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,456.00 / $19,591.00	Facility		$2,155.00	$12,456.00	$19,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $582.94 / $777.93 / $1,624.96	Professional		$582.94	$777.93	$1,624.96