Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.19 / $12,075.00 / $28,812.62	Facility		$204.19	$12,075.00	$28,812.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.11 / $2,558.57 / $3,014.22	Professional		$164.11	$2,558.57	$3,014.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,680.00 / $2,100.00 / $2,119.61	Facility		$1,680.00	$2,100.00	$2,119.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.96 / $2,113.17 / $2,485.52	Professional		$156.96	$2,113.17	$2,485.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,349.79 / $5,349.79 / $6,874.58	Facility		$5,349.79	$5,349.79	$6,874.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.48 / $479.20 / $5,050.01	Professional		$211.48	$479.20	$5,050.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.19 / $3,014.22 / $5,035.53	Facility		$204.19	$3,014.22	$5,035.53
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $452.15 / $5,023.68 / $7,553.30	Facility	50	$452.15	$5,023.68	$7,553.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,733.29 / $4,733.29 / $5,603.54	Professional		$4,733.29	$4,733.29	$5,603.54
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $8,405.29 / $8,405.29 / $8,405.29	Professional	50	$8,405.29	$8,405.29	$8,405.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,871.71 / $2,667.29 / $4,096.63	Professional		$1,871.71	$2,667.29	$4,096.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,959.00 / $23,485.00	Facility		$2,912.00	$16,959.00	$23,485.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,799.13 / $3,602.43 / $7,240.74	Professional		$2,799.13	$3,602.43	$7,240.74