Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.88 / $4,440.80 / $13,629.75	Facility		$511.88	$4,440.80	$13,629.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.64 / $881.15 / $1,467.20	Professional		$341.64	$881.15	$1,467.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,021.18 / $5,787.62 / $10,089.79	Facility		$2,021.18	$5,787.62	$10,089.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.93 / $766.16 / $1,273.15	Professional		$319.93	$766.16	$1,273.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $2,106.17 / $2,706.47	Facility		$375.00	$2,106.17	$2,706.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.68 / $842.78 / $1,753.07	Professional		$400.68	$842.78	$1,753.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $419.75 / $881.15 / $1,683.00	Facility		$419.75	$881.15	$1,683.00
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 $716.89 / $980.54 / $1,515.01	Professional		$716.89	$980.54	$1,515.01
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 $813.52 / $1,337.11 / $2,404.61	Professional		$813.52	$1,337.11	$2,404.61