Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.60 / $4,230.00 / $9,727.00	Facility		$468.60	$4,230.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.25 / $399.72 / $520.66	Professional		$310.25	$399.72	$520.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,600.83 / $4,369.78 / $8,045.04	Facility		$1,600.83	$4,369.78	$8,045.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.10 / $454.26 / $771.96	Professional		$396.10	$454.26	$771.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.80 / $505.00 / $780.00	Facility		$210.80	$505.00	$780.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.24 / $507.71 / $1,006.19	Professional		$398.24	$507.71	$1,006.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $393.92 / $537.86 / $856.37	Facility		$393.92	$537.86	$856.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $168.16 / $168.16 / $168.16	Professional		$168.16	$168.16	$168.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $346.23 / $635.93	Professional		$36.68	$346.23	$635.93
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 $317.36 / $436.71 / $924.71	Professional		$317.36	$436.71	$924.71