Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,078.39 / $5,866.00 / $16,467.00	Facility		$1,078.39	$5,866.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $842.39 / $882.89 / $1,078.39	Professional		$842.39	$882.89	$1,078.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,347.67 / $6,299.51 / $10,537.94	Facility		$3,347.67	$6,299.51	$10,537.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.00 / $774.93 / $1,295.96	Professional		$647.00	$774.93	$1,295.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $505.00 / $2,594.85	Facility		$505.00	$505.00	$2,594.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.85 / $951.38 / $2,027.63	Professional		$608.85	$951.38	$2,027.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $661.00 / $891.00 / $1,455.83	Facility		$661.00	$891.00	$1,455.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $660.00 / $2,174.76	Professional		$660.00	$660.00	$2,174.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $552.88 / $942.40	Professional		$103.50	$552.88	$942.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $13,190.00 / $19,665.00	Facility		$2,155.00	$13,190.00	$19,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $613.34 / $790.83 / $1,261.05	Professional		$613.34	$790.83	$1,261.05