Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $10,000.00 / $18,197.01	Facility		$2,570.40	$10,000.00	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,819.70	Professional		$851.14	$1,047.13	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,918.31 / $13,182.57	Facility		$2,951.21	$6,918.31	$13,182.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $933.25 / $1,202.26	Professional		$870.96	$933.25	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $562.34 / $1,621.81	Facility		$34.67	$562.34	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $2,691.53	Professional		$812.83	$1,202.26	$2,691.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,445.44	Professional		$1,230.27	$1,230.27	$1,445.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,041.74	Facility		$933.25	$1,230.27	$2,041.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
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 $1,230.27 / $12,589.25 / $22,908.68	Facility		$1,230.27	$12,589.25	$22,908.68
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,778.28	Professional		$776.25	$1,023.29	$1,778.28