Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $9,120.11 / $16,595.87	Facility		$1,949.84	$9,120.11	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $1,737.80	Professional		$691.83	$812.83	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $7,943.28 / $14,454.40	Facility		$3,162.28	$7,943.28	$14,454.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,380.38	Professional		$630.96	$912.01	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $4,168.69	Facility		$3,235.94	$3,235.94	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,659.59	Professional		$741.31	$954.99	$1,659.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,659.59	Facility		$724.44	$1,047.13	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $17,378.01 / $26,302.68	Facility		$6,309.57	$17,378.01	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,479.11	Professional		$645.65	$851.14	$1,479.11