Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.39 / $4,673.00 / $9,870.00	Facility		$548.39	$4,673.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.01 / $548.39 / $733.66	Professional		$442.01	$548.39	$733.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,416.90 / $4,556.56 / $8,751.16	Facility		$1,416.90	$4,556.56	$8,751.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.00 / $454.01 / $750.79	Professional		$427.00	$454.01	$750.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $615.00 / $2,580.23	Facility		$375.00	$615.00	$2,580.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.97 / $602.33 / $1,117.48	Professional		$439.97	$602.33	$1,117.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $466.13 / $552.82 / $932.26	Facility		$466.13	$552.82	$932.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.77 / $928.91 / $2,203.46	Professional		$309.77	$928.91	$2,203.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $424.12 / $702.88	Professional		$71.00	$424.12	$702.88
United Facility/Professional Facility Modifier Low / Median / High Price $870.00 / $12,269.00 / $19,591.00	Facility		$870.00	$12,269.00	$19,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $382.41 / $506.01 / $977.43	Professional		$382.41	$506.01	$977.43