Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,206.00 / $9,062.00 / $16,467.00	Facility		$1,206.00	$9,062.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.42 / $1,174.58 / $1,918.63	Professional		$940.42	$1,174.58	$1,918.63
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 $869.09 / $980.31 / $1,705.53	Professional		$869.09	$980.31	$1,705.53
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 $701.03 / $1,063.52 / $2,269.79	Professional		$701.03	$1,063.52	$2,269.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $757.00 / $1,051.93 / $1,628.10	Facility		$757.00	$1,051.93	$1,628.10
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 / $649.90 / $1,048.76	Professional		$103.50	$649.90	$1,048.76
United Facility/Professional Facility Modifier Low / Median / High Price $5,114.00 / $12,271.00 / $22,523.00	Facility		$5,114.00	$12,271.00	$22,523.00
United Facility/Professional Professional Modifier Low / Median / High Price $728.12 / $907.60 / $1,512.19	Professional		$728.12	$907.60	$1,512.19