Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.38 / $4,230.00 / $9,870.00	Facility		$543.38	$4,230.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.16 / $543.38 / $659.46	Professional		$412.16	$543.38	$659.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,082.88 / $5,869.49 / $9,333.66	Facility		$3,082.88	$5,869.49	$9,333.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.54 / $550.00 / $967.07	Professional		$394.54	$550.00	$967.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,221.33 / $1,569.43	Facility		$375.00	$1,221.33	$1,569.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.00 / $593.38 / $1,099.81	Professional		$434.00	$593.38	$1,099.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $429.07 / $564.35 / $929.58	Facility		$429.07	$564.35	$929.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,043.80 / $1,080.58 / $1,286.61	Professional		$1,043.80	$1,080.58	$1,286.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.19 / $430.63 / $699.77	Professional		$48.19	$430.63	$699.77
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 $401.26 / $553.79 / $1,117.75	Professional		$401.26	$553.79	$1,117.75