Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.23 / $4,673.00 / $9,870.00	Facility		$540.23	$4,673.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.53 / $540.23 / $720.85	Professional		$450.53	$540.23	$720.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,447.53 / $5,336.30 / $9,721.67	Facility		$1,447.53	$5,336.30	$9,721.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.06 / $546.00 / $914.32	Professional		$424.06	$546.00	$914.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $615.00 / $2,094.27	Facility		$375.00	$615.00	$2,094.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.78 / $599.71 / $1,111.98	Professional		$464.78	$599.71	$1,111.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $477.02 / $587.00 / $924.64	Facility		$477.02	$587.00	$924.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $540.50 / $1,035.35 / $1,788.46	Professional		$540.50	$1,035.35	$1,788.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.92 / $470.35 / $745.29	Professional		$100.92	$470.35	$745.29
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 $389.53 / $530.38 / $1,099.39	Professional		$389.53	$530.38	$1,099.39