Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.79 / $5,107.20 / $13,335.00	Facility		$562.79	$5,107.20	$13,335.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.75 / $562.79 / $774.39	Professional		$375.75	$562.79	$774.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,189.92 / $4,694.54 / $7,666.70	Facility		$2,189.92	$4,694.54	$7,666.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.55 / $654.00 / $945.40	Professional		$435.55	$654.00	$945.40
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 $429.44 / $643.69 / $1,260.76	Professional		$429.44	$643.69	$1,260.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $488.12 / $662.98 / $986.78	Facility		$488.12	$662.98	$986.78
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $814.02 / $994.47 / $1,530.91	Facility	50	$814.02	$994.47	$1,530.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $755.00 / $755.00 / $1,376.31	Professional		$755.00	$755.00	$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 / $387.94 / $641.59	Professional		$69.42	$387.94	$641.59
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 $476.10 / $595.12 / $970.62	Professional		$476.10	$595.12	$970.62