Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.86 / $5,621.00 / $9,870.00	Facility		$592.86	$5,621.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.48 / $592.86 / $759.17	Professional		$474.48	$592.86	$759.17
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 $454.53 / $644.00 / $1,132.34	Professional		$454.53	$644.00	$1,132.34
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 $532.29 / $681.69 / $1,267.07	Professional		$532.29	$681.69	$1,267.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $474.48 / $652.15 / $1,072.18	Facility		$474.48	$652.15	$1,072.18
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 $48.19 / $486.05 / $784.59	Professional		$48.19	$486.05	$784.59
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 $465.17 / $659.55 / $1,287.16	Professional		$465.17	$659.55	$1,287.16