Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,158.69 / $8,783.00 / $16,639.00	Facility		$1,158.69	$8,783.00	$16,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.93 / $959.51 / $1,158.69	Professional		$904.93	$959.51	$1,158.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,574.76 / $9,263.14 / $15,459.94	Facility		$4,574.76	$9,263.14	$15,459.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $714.00 / $834.13 / $1,409.51	Professional		$714.00	$834.13	$1,409.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $580.00 / $2,594.85	Facility		$580.00	$580.00	$2,594.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.49 / $1,022.03 / $2,179.42	Professional		$658.49	$1,022.03	$2,179.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $705.00 / $943.83 / $1,547.38	Facility		$705.00	$943.83	$1,547.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $755.00 / $755.00 / $2,174.76	Professional		$755.00	$755.00	$2,174.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $645.33 / $993.68	Professional		$103.50	$645.33	$993.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,779.00 / $12,456.00 / $19,591.00	Facility		$1,779.00	$12,456.00	$19,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $654.26 / $876.61 / $1,438.01	Professional		$654.26	$876.61	$1,438.01