Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.52 / $4,375.00 / $14,221.42	Facility		$411.52	$4,375.00	$14,221.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.80 / $596.97 / $901.06	Professional		$340.80	$596.97	$901.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,629.54 / $3,647.71 / $7,044.49	Facility		$1,629.54	$3,647.71	$7,044.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.00 / $484.55 / $875.50	Professional		$382.00	$484.55	$875.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $580.00 / $1,512.28	Facility		$375.00	$580.00	$1,512.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.58 / $675.83 / $1,229.53	Professional		$387.58	$675.83	$1,229.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $396.00 / $725.80 / $1,180.08	Facility		$396.00	$725.80	$1,180.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,300.71 / $1,300.71 / $1,300.71	Professional		$1,300.71	$1,300.71	$1,300.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.82 / $806.20 / $1,336.28	Professional		$104.82	$806.20	$1,336.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $10,257.00 / $16,249.00	Facility		$1,550.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $502.43 / $672.11 / $1,464.55	Professional		$502.43	$672.11	$1,464.55