Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.25 / $5,889.00 / $9,870.00	Facility		$463.25	$5,889.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.82 / $1,668.21 / $2,581.19	Professional		$369.82	$1,668.21	$2,581.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,368.89 / $2,911.56 / $4,934.17	Facility		$1,368.89	$2,911.56	$4,934.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.88 / $556.51 / $1,982.30	Professional		$355.88	$556.51	$1,982.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,700.19 / $1,700.19 / $2,184.77	Facility		$1,700.19	$1,700.19	$2,184.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.60 / $1,300.52 / $3,458.98	Professional		$462.60	$1,300.52	$3,458.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $463.25 / $1,901.26 / $3,269.22	Facility		$463.25	$1,901.26	$3,269.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $843.31 / $1,504.25 / $2,252.57	Professional		$843.31	$1,504.25	$2,252.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.75 / $1,283.21 / $2,323.00	Professional		$110.75	$1,283.21	$2,323.00
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 $1,606.95 / $2,401.19 / $4,224.22	Professional		$1,606.95	$2,401.19	$4,224.22