Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.10 / $8,783.00 / $16,639.00	Facility		$1,129.10	$8,783.00	$16,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $882.18 / $928.01 / $1,129.10	Professional		$882.18	$928.01	$1,129.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,483.92 / $4,694.54 / $7,666.70	Facility		$2,483.92	$4,694.54	$7,666.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $802.00 / $873.74 / $1,410.16	Professional		$802.00	$873.74	$1,410.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $580.00 / $1,677.54	Facility		$580.00	$580.00	$1,677.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $643.66 / $995.58 / $2,125.71	Professional		$643.66	$995.58	$2,125.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $713.00 / $968.00 / $1,524.30	Facility		$713.00	$968.00	$1,524.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $755.00 / $755.00 / $1,376.31	Professional		$755.00	$755.00	$1,376.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $617.65 / $989.06	Professional		$103.50	$617.65	$989.06
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 $661.44 / $848.79 / $1,400.94	Professional		$661.44	$848.79	$1,400.94