Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,005.57 / $5,621.00 / $9,870.00	Facility		$1,005.57	$5,621.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.81 / $1,005.57 / $1,308.50	Professional		$817.81	$1,005.57	$1,308.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,792.31 / $9,602.04 / $16,952.09	Facility		$3,792.31	$9,602.04	$16,952.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $768.60 / $924.93 / $1,604.41	Professional		$768.60	$924.93	$1,604.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,711.96 / $3,711.96 / $4,769.93	Facility		$3,711.96	$3,711.96	$4,769.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $869.06 / $1,144.52 / $2,141.21	Professional		$869.06	$1,144.52	$2,141.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $822.69 / $1,156.00 / $1,798.14	Facility		$822.69	$1,156.00	$1,798.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,016.98 / $3,284.20 / $3,851.65	Professional		$2,016.98	$3,284.20	$3,851.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.49 / $644.52 / $1,155.98	Professional		$75.49	$644.52	$1,155.98
United Facility/Professional Facility Modifier Low / Median / High Price $6,298.00 / $17,333.00 / $25,628.00	Facility		$6,298.00	$17,333.00	$25,628.00
United Facility/Professional Professional Modifier Low / Median / High Price $787.03 / $1,111.89 / $1,959.86	Professional		$787.03	$1,111.89	$1,959.86