Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.35 / $3,655.40 / $16,467.00	Facility		$474.35	$3,655.40	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.24 / $445.29 / $666.61	Professional		$371.24	$445.29	$666.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,770.28 / $4,408.50 / $7,418.57	Facility		$1,770.28	$4,408.50	$7,418.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.64 / $438.10 / $738.49	Professional		$380.64	$438.10	$738.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $464.98 / $580.00 / $1,512.28	Facility		$464.98	$580.00	$1,512.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.20 / $535.33 / $902.42	Professional		$402.20	$535.33	$902.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $400.99 / $476.00 / $880.77	Facility		$400.99	$476.00	$880.77
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 / $368.70 / $616.51	Professional		$69.90	$368.70	$616.51
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 $328.58 / $425.22 / $957.40	Professional		$328.58	$425.22	$957.40