Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.63 / $4,230.00 / $9,727.00	Facility		$438.63	$4,230.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.37 / $464.88 / $655.11	Professional		$339.37	$464.88	$655.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,073.24 / $5,808.35 / $9,670.36	Facility		$3,073.24	$5,808.35	$9,670.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $386.33 / $635.92	Professional		$275.00	$386.33	$635.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $505.00 / $1,677.54	Facility		$505.00	$505.00	$1,677.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.45 / $543.47 / $982.60	Professional		$316.45	$543.47	$982.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $320.49 / $493.61 / $840.84	Facility		$320.49	$493.61	$840.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $660.00 / $1,376.31	Professional		$660.00	$660.00	$1,376.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $322.78 / $560.40	Professional		$33.96	$322.78	$560.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $10,257.00 / $16,249.00	Facility		$1,258.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $397.89 / $523.27 / $862.94	Professional		$397.89	$523.27	$862.94