Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.56 / $5,526.95 / $16,467.00	Facility		$243.56	$5,526.95	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $1,670.82 / $2,629.22	Professional		$166.05	$1,670.82	$2,629.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,313.35 / $4,721.58 / $13,003.64	Facility		$2,313.35	$4,721.58	$13,003.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.58 / $519.60 / $1,751.28	Professional		$163.58	$519.60	$1,751.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,774.68 / $1,774.68 / $2,280.50	Facility		$1,774.68	$1,774.68	$2,280.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.57 / $499.89 / $3,644.62	Professional		$218.57	$499.89	$3,644.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $207.03 / $1,936.84 / $3,823.26	Facility		$207.03	$1,936.84	$3,823.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,570.16 / $1,921.57 / $2,598.40	Professional		$1,570.16	$1,921.57	$2,598.40
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $2,882.36 / $2,882.36 / $3,897.60	Professional	50	$2,882.36	$2,882.36	$3,897.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,393.94 / $1,781.14 / $2,682.59	Professional		$1,393.94	$1,781.14	$2,682.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $19,627.00 / $25,620.00	Facility		$3,028.00	$19,627.00	$25,620.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,773.48 / $2,447.40 / $5,126.24	Professional		$1,773.48	$2,447.40	$5,126.24