Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,137.50 / $1,267.50 / $7,706.40	Facility		$1,137.50	$1,267.50	$7,706.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $1,267.50 / $1,413.75	Professional		$975.00	$1,267.50	$1,413.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,673.75 / $1,738.76 / $10,004.19	Facility		$1,673.75	$1,738.76	$10,004.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,625.00 / $1,625.00 / $2,222.19	Professional		$1,625.00	$1,625.00	$2,222.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,953.28 / $4,710.88 / $9,265.43	Facility		$2,953.28	$4,710.88	$9,265.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.00 / $950.62 / $2,334.48	Professional		$741.00	$950.62	$2,334.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,267.50 / $1,625.00 / $2,015.00	Facility		$1,267.50	$1,625.00	$2,015.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,625.00 / $1,625.00 / $1,625.00	Professional		$1,625.00	$1,625.00	$1,625.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $893.75 / $893.75 / $1,287.00	Professional		$893.75	$893.75	$1,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $682.50 / $975.00 / $1,625.00	Professional		$682.50	$975.00	$1,625.00