Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.41 / $5,621.00 / $9,870.00	Facility		$551.41	$5,621.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.49 / $551.41 / $704.78	Professional		$440.49	$551.41	$704.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,768.35 / $7,239.95 / $12,392.04	Facility		$2,768.35	$7,239.95	$12,392.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.06 / $599.00 / $1,053.22	Professional		$422.06	$599.00	$1,053.22
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 $489.38 / $635.74 / $1,177.14	Professional		$489.38	$635.74	$1,177.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $440.49 / $606.55 / $995.92	Facility		$440.49	$606.55	$995.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,459.87 / $1,863.46 / $2,252.57	Professional		$1,459.87	$1,863.46	$2,252.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $279.31 / $463.85 / $737.73	Professional		$279.31	$463.85	$737.73
United Facility/Professional Facility Modifier Low / Median / High Price $5,186.00 / $12,456.00 / $22,523.00	Facility		$5,186.00	$12,456.00	$22,523.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.29 / $613.46 / $1,196.10	Professional		$437.29	$613.46	$1,196.10