Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.87 / $1,690.67 / $16,467.00	Facility		$565.87	$1,690.67	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.81 / $565.87 / $812.54	Professional		$393.81	$565.87	$812.54
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 $437.92 / $668.00 / $1,074.63	Professional		$437.92	$668.00	$1,074.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $715.00 / $1,677.54	Facility		$715.00	$715.00	$1,677.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.19 / $693.19 / $1,267.63	Professional		$420.19	$693.19	$1,267.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $479.90 / $678.79 / $1,041.71	Facility		$479.90	$678.79	$1,041.71
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $829.50 / $1,010.99 / $1,674.57	Facility	50	$829.50	$1,010.99	$1,674.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $933.00 / $933.00 / $1,376.31	Professional		$933.00	$933.00	$1,376.31
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $2,064.46 / $2,064.46 / $2,064.46	Professional	50	$2,064.46	$2,064.46	$2,064.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $419.63 / $700.50	Professional		$69.42	$419.63	$700.50
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 $466.15 / $646.10 / $1,066.85	Professional		$466.15	$646.10	$1,066.85