Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.58 / $4,375.00 / $16,467.00	Facility		$238.58	$4,375.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.68 / $230.35 / $238.58	Professional		$160.68	$230.35	$238.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,631.12 / $3,519.14 / $5,917.19	Facility		$1,631.12	$3,519.14	$5,917.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.91 / $212.89 / $355.18	Professional		$176.91	$212.89	$355.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,594.85 / $2,594.85 / $2,594.85	Facility		$2,594.85	$2,594.85	$2,594.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.40 / $250.00 / $452.80	Professional		$190.40	$250.00	$452.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $170.08 / $238.58 / $336.18	Facility		$170.08	$238.58	$336.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $493.00 / $493.00 / $2,174.76	Professional		$493.00	$493.00	$2,174.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.43 / $208.28 / $259.79	Professional		$160.43	$208.28	$259.79
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 $160.47 / $196.69 / $323.26	Professional		$160.47	$196.69	$323.26