Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.27 / $11,909.00 / $20,021.39	Facility		$772.27	$11,909.00	$20,021.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.12 / $691.70 / $879.43	Professional		$577.12	$691.70	$879.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,625.55 / $8,268.12 / $17,077.74	Facility		$4,625.55	$8,268.12	$17,077.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.26 / $863.00 / $1,517.41	Professional		$630.26	$863.00	$1,517.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $768.89 / $768.89 / $890.00	Facility		$768.89	$768.89	$890.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.26 / $904.29 / $1,492.41	Professional		$743.26	$904.29	$1,492.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $743.71 / $921.80 / $1,475.59	Facility		$743.71	$921.80	$1,475.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $483.28 / $899.05	Professional		$75.30	$483.28	$899.05
United Facility/Professional Facility Modifier Low / Median / High Price $5,114.00 / $12,456.00 / $22,523.00	Facility		$5,114.00	$12,456.00	$22,523.00
United Facility/Professional Professional Modifier Low / Median / High Price $549.36 / $715.13 / $1,529.20	Professional		$549.36	$715.13	$1,529.20