Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $7,244.36 / $16,595.87	Facility		$1,288.25	$7,244.36	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $977.24	Professional		$446.68	$524.81	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,073.80 / $7,762.47	Facility		$1,698.24	$4,073.80	$7,762.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $741.31	Professional		$489.78	$549.54	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $776.25 / $1,513.56	Facility		$501.19	$776.25	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $1,071.52	Professional		$436.52	$602.56	$1,071.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $1,174.90	Professional		$630.96	$630.96	$1,174.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $602.56 / $1,071.52	Facility		$467.74	$602.56	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $6,760.83 / $10,000.00	Facility		$1,479.11	$6,760.83	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $776.25	Professional		$389.05	$501.19	$776.25