Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.35 / $8,783.00 / $16,639.00	Facility		$701.35	$8,783.00	$16,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.49 / $630.52 / $816.05	Professional		$564.49	$630.52	$816.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,634.28 / $11,250.27 / $20,652.61	Facility		$4,634.28	$11,250.27	$20,652.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.62 / $747.00 / $1,313.45	Professional		$573.62	$747.00	$1,313.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $700.82 / $8,232.51	Facility		$580.00	$700.82	$8,232.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.41 / $766.94 / $1,355.35	Professional		$611.41	$766.94	$1,355.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $637.20 / $812.00 / $1,335.26	Facility		$637.20	$812.00	$1,335.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,154.33 / $6,154.33 / $6,154.33	Professional		$6,154.33	$6,154.33	$6,154.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $415.09 / $791.13	Professional		$75.30	$415.09	$791.13
United Facility/Professional Facility Modifier Low / Median / High Price $8,766.00 / $17,146.00 / $24,729.00	Facility		$8,766.00	$17,146.00	$24,729.00
United Facility/Professional Professional Modifier Low / Median / High Price $491.12 / $638.24 / $1,393.10	Professional		$491.12	$638.24	$1,393.10