Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $8,912.51 / $16,595.87	Facility		$2,570.40	$8,912.51	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,995.26	Professional		$831.76	$1,023.29	$1,995.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $9,332.54 / $17,378.01	Facility		$3,630.78	$9,332.54	$17,378.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $933.25 / $1,584.89	Professional		$831.76	$933.25	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,548.82 / $3,715.35	Facility		$562.34	$1,548.82	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,202.26 / $2,511.89	Professional		$741.31	$1,202.26	$2,511.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,479.11	Professional		$1,230.27	$1,230.27	$1,479.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,995.26	Facility		$912.01	$1,230.27	$1,995.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $16,982.44 / $25,703.96	Facility		$1,698.24	$16,982.44	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,737.80	Professional		$758.58	$1,023.29	$1,737.80