Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.53 / $4,230.00 / $9,870.00	Facility		$642.53	$4,230.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.38 / $642.53 / $824.61	Professional		$515.38	$642.53	$824.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $780.00 / $1,649.43 / $2,843.29	Facility		$780.00	$1,649.43	$2,843.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.00 / $929.00 / $1,600.03	Professional		$490.00	$929.00	$1,600.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $401.98 / $516.54	Facility		$375.00	$401.98	$516.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.67 / $753.66 / $1,377.50	Professional		$570.67	$753.66	$1,377.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $520.71 / $726.88 / $1,174.35	Facility		$520.71	$726.88	$1,174.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $313.57 / $355.65 / $469.37	Professional		$313.57	$355.65	$469.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $418.65 / $572.84 / $893.97	Professional		$418.65	$572.84	$893.97
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $498.25 / $714.82 / $1,387.52	Professional		$498.25	$714.82	$1,387.52