Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.83 / $2,627.80 / $12,994.00	Facility		$284.83	$2,627.80	$12,994.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.70 / $284.64 / $1,074.00	Professional		$217.70	$284.64	$1,074.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.00 / $4,468.18 / $7,881.56	Facility		$2,187.00	$4,468.18	$7,881.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.54 / $260.41 / $464.52	Professional		$203.54	$260.41	$464.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,130.29 / $2,130.29 / $2,737.46	Facility		$2,130.29	$2,130.29	$2,737.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.64 / $305.52 / $419.66	Professional		$215.64	$305.52	$419.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $217.70 / $291.47 / $496.50	Facility		$217.70	$291.47	$496.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $894.76 / $1,884.79 / $2,096.12	Professional		$894.76	$1,884.79	$2,096.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.24 / $265.07 / $421.47	Professional		$186.24	$265.07	$421.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $10,878.00 / $16,901.00	Facility		$1,981.00	$10,878.00	$16,901.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.22 / $311.08 / $558.29	Professional		$213.22	$311.08	$558.29