Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $12,022.64 / $18,197.01	Facility		$1,949.84	$12,022.64	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $1,288.25	Professional		$645.65	$758.58	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,332.54 / $17,378.01	Facility		$3,715.35	$9,332.54	$17,378.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,122.02	Professional		$645.65	$851.14	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,174.90 / $3,801.89	Facility		$562.34	$1,174.90	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $933.25 / $1,905.46	Professional		$630.96	$933.25	$1,905.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,202.26	Professional		$977.24	$977.24	$1,202.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $954.99 / $1,584.89	Facility		$691.83	$954.99	$1,584.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
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 $602.56 / $794.33 / $1,380.38	Professional		$602.56	$794.33	$1,380.38