Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.95 / $4,230.00 / $9,727.00	Facility		$689.95	$4,230.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.62 / $689.95 / $933.24	Professional		$532.62	$689.95	$933.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,144.79 / $4,037.34 / $6,619.00	Facility		$2,144.79	$4,037.34	$6,619.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $531.42 / $673.64 / $1,119.75	Professional		$531.42	$673.64	$1,119.75
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 $504.70 / $820.36 / $1,545.60	Professional		$504.70	$820.36	$1,545.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $746.65 / $1,203.88	Facility		$510.00	$746.65	$1,203.88
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 $69.42 / $485.62 / $801.39	Professional		$69.42	$485.62	$801.39
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 $587.01 / $770.87 / $1,255.80	Professional		$587.01	$770.87	$1,255.80