Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.26 / $4,375.00 / $16,467.00	Facility		$472.26	$4,375.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.53 / $422.41 / $521.02	Professional		$383.53	$422.41	$521.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,623.07 / $4,545.93 / $8,090.25	Facility		$1,623.07	$4,545.93	$8,090.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.31 / $454.94 / $779.08	Professional		$388.31	$454.94	$779.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $476.15 / $2,581.96	Facility		$375.00	$476.15	$2,581.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.54 / $503.73 / $912.64	Professional		$353.54	$503.73	$912.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $414.19 / $519.49 / $883.05	Facility		$414.19	$519.49	$883.05
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 $36.68 / $311.65 / $580.23	Professional		$36.68	$311.65	$580.23
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $3,866.00 / $6,584.00	Facility		$490.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $329.00 / $440.52 / $849.88	Professional		$329.00	$440.52	$849.88