Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.99 / $5,866.00 / $16,467.00	Facility		$596.99	$5,866.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.79 / $522.87 / $650.30	Professional		$471.79	$522.87	$650.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,954.85 / $4,452.39 / $7,418.57	Facility		$1,954.85	$4,452.39	$7,418.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.99 / $513.45 / $859.81	Professional		$478.99	$513.45	$859.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $592.57 / $1,512.28	Facility		$505.00	$592.57	$1,512.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $442.56 / $624.29 / $1,135.74	Professional		$442.56	$624.29	$1,135.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $479.51 / $583.00 / $1,111.07	Facility		$479.51	$583.00	$1,111.07
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 $69.90 / $461.59 / $783.65	Professional		$69.90	$461.59	$783.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $4,877.00 / $9,900.00	Facility		$1,471.00	$4,877.00	$9,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.14 / $512.13 / $1,162.99	Professional		$399.14	$512.13	$1,162.99