Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.93 / $6,548.00 / $16,467.00	Facility		$330.93	$6,548.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.23 / $330.93 / $433.97	Professional		$271.23	$330.93	$433.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,058.00 / $5,655.73 / $11,630.37	Facility		$1,058.00	$5,655.73	$11,630.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.33 / $541.00 / $835.41	Professional		$259.33	$541.00	$835.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $655.00 / $4,180.34	Facility		$375.00	$655.00	$4,180.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $427.87 / $711.61	Professional		$295.08	$427.87	$711.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $308.24 / $440.35 / $657.71	Facility		$308.24	$440.35	$657.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $610.00 / $3,569.91	Professional		$367.50	$610.00	$3,569.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.39 / $305.82 / $470.09	Professional		$223.39	$305.82	$470.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,098.00 / $17,186.00 / $24,729.00	Facility		$2,098.00	$17,186.00	$24,729.00
United Facility/Professional Professional Modifier Low / Median / High Price $246.64 / $351.27 / $688.81	Professional		$246.64	$351.27	$688.81