Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.28 / $4,375.00 / $16,467.00	Facility		$793.28	$4,375.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.15 / $720.76 / $958.54	Professional		$638.15	$720.76	$958.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.64 / $438.34 / $728.95	Facility		$208.64	$438.34	$728.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $674.79 / $852.00 / $1,479.79	Professional		$674.79	$852.00	$1,479.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $580.00 / $1,370.63	Facility		$375.00	$580.00	$1,370.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $706.30 / $861.77 / $1,533.01	Professional		$706.30	$861.77	$1,533.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $708.00 / $929.00 / $1,509.12	Facility		$708.00	$929.00	$1,509.12
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 / $483.28 / $899.05	Professional		$75.30	$483.28	$899.05
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $568.97 / $753.69 / $1,523.35	Professional		$568.97	$753.69	$1,523.35