Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $10,000.00 / $18,197.01	Facility		$2,691.53	$10,000.00	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,949.84	Professional		$891.25	$1,047.13	$1,949.84
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 $851.14 / $1,000.00 / $1,380.38	Professional		$851.14	$1,000.00	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,621.81 / $3,715.35	Facility		$371.54	$1,621.81	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,258.93 / $2,630.27	Professional		$776.25	$1,258.93	$2,630.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,621.81	Professional		$1,023.29	$1,023.29	$1,621.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,288.25 / $2,137.96	Facility		$912.01	$1,288.25	$2,137.96
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 $794.33 / $1,071.52 / $1,905.46	Professional		$794.33	$1,071.52	$1,905.46