Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.04 / $5,621.00 / $9,870.00	Facility		$479.04	$5,621.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.41 / $479.04 / $611.86	Professional		$382.41	$479.04	$611.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,794.34 / $4,588.63 / $8,041.18	Facility		$1,794.34	$4,588.63	$8,041.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.09 / $441.76 / $766.64	Professional		$367.09	$441.76	$766.64
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 $442.18 / $558.40 / $1,004.12	Professional		$442.18	$558.40	$1,004.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $407.18 / $617.63 / $902.01	Facility		$407.18	$617.63	$902.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $947.40 / $1,863.46 / $2,252.57	Professional		$947.40	$1,863.46	$2,252.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $251.82 / $409.47 / $662.86	Professional		$251.82	$409.47	$662.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $10,069.00 / $16,249.00	Facility		$1,981.00	$10,069.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.89 / $589.79 / $1,112.15	Professional		$383.89	$589.79	$1,112.15