Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.41 / $8,960.00 / $16,467.00	Facility		$612.41	$8,960.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.63 / $612.41 / $840.03	Professional		$432.63	$612.41	$840.03
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 $376.00 / $490.44 / $676.81	Professional		$376.00	$490.44	$676.81
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 $442.91 / $629.54 / $928.82	Professional		$442.91	$629.54	$928.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $435.99 / $570.75 / $1,071.42	Facility		$435.99	$570.75	$1,071.42
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 $75.49 / $362.16 / $723.81	Professional		$75.49	$362.16	$723.81
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 $454.55 / $657.89 / $1,201.34	Professional		$454.55	$657.89	$1,201.34