Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.86 / $4,357.50 / $12,520.08	Facility		$563.86	$4,357.50	$12,520.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.00 / $755.94 / $1,634.48	Professional		$184.00	$755.94	$1,634.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,490.53 / $10,035.11	Facility		$856.00	$4,490.53	$10,035.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.33 / $381.60 / $805.80	Professional		$187.33	$381.60	$805.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $2,106.17 / $2,706.47	Facility		$505.00	$2,106.17	$2,706.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.58 / $526.05 / $1,680.06	Professional		$197.58	$526.05	$1,680.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $214.40 / $521.00 / $1,596.83	Facility		$214.40	$521.00	$1,596.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,174.21 / $1,863.46 / $2,252.57	Professional		$1,174.21	$1,863.46	$2,252.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $634.40 / $859.24 / $1,329.25	Professional		$634.40	$859.24	$1,329.25
United Facility/Professional Facility Modifier Low / Median / High Price $791.00 / $10,257.00 / $16,249.00	Facility		$791.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $694.09 / $1,205.13 / $2,082.35	Professional		$694.09	$1,205.13	$2,082.35