Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,149.14 / $8,783.00 / $16,639.00	Facility		$1,149.14	$8,783.00	$16,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.33 / $1,104.24 / $1,154.34	Professional		$745.33	$1,104.24	$1,154.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.44 / $6,277.56 / $10,537.94	Facility		$2,951.44	$6,277.56	$10,537.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $843.96 / $1,363.00 / $1,921.00	Professional		$843.96	$1,363.00	$1,921.00
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 $774.96 / $1,139.98 / $2,179.23	Professional		$774.96	$1,139.98	$2,179.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $841.00 / $1,141.31 / $1,675.00	Facility		$841.00	$1,141.31	$1,675.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,261.50 / $1,666.65 / $2,512.50	Facility	50	$1,261.50	$1,666.65	$2,512.50
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 $69.42 / $624.46 / $1,003.16	Professional		$69.42	$624.46	$1,003.16
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 $755.60 / $955.45 / $1,614.18	Professional		$755.60	$955.45	$1,614.18