Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.00 / $5,192.00 / $9,727.00	Facility		$387.00	$5,192.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.92 / $1,021.02 / $1,646.51	Professional		$275.92	$1,021.02	$1,646.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,389.04 / $5,697.84 / $11,537.10	Facility		$2,389.04	$5,697.84	$11,537.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.77 / $446.40 / $1,671.33	Professional		$270.77	$446.40	$1,671.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.84 / $789.21 / $2,624.26	Professional		$329.84	$789.21	$2,624.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $365.27 / $1,646.51 / $2,536.78	Facility		$365.27	$1,646.51	$2,536.78
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $772.41 / $2,765.06 / $4,354.26	Facility	50	$772.41	$2,765.06	$4,354.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,410.74 / $4,410.74 / $4,410.74	Professional		$4,410.74	$4,410.74	$4,410.74
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $6,616.11 / $6,616.11 / $6,616.11	Professional	50	$6,616.11	$6,616.11	$6,616.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $902.04 / $1,227.99 / $1,878.69	Professional		$902.04	$1,227.99	$1,878.69
United Facility/Professional Facility Modifier Low / Median / High Price $5,114.00 / $12,798.00 / $19,591.00	Facility		$5,114.00	$12,798.00	$19,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,216.79 / $1,707.64 / $3,026.73	Professional		$1,216.79	$1,707.64	$3,026.73