Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.28 / $5,134.85 / $10,500.00	Facility		$1,095.28	$5,134.85	$10,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.17 / $491.20 / $1,095.28	Professional		$344.17	$491.20	$1,095.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,416.90 / $6,725.88 / $12,487.44	Facility		$1,416.90	$6,725.88	$12,487.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.52 / $502.00 / $890.55	Professional		$387.52	$502.00	$890.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $810.00 / $4,180.34	Facility		$375.00	$810.00	$4,180.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.82 / $512.52 / $993.59	Professional		$394.82	$512.52	$993.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $415.87 / $512.00 / $905.00	Facility		$415.87	$512.00	$905.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $754.00 / $3,569.91	Professional		$440.00	$754.00	$3,569.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.90 / $362.24 / $598.71	Professional		$60.90	$362.24	$598.71
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 $343.35 / $481.38 / $1,025.26	Professional		$343.35	$481.38	$1,025.26