Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.61 / $9,062.00 / $16,467.00	Facility		$655.61	$9,062.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.61 / $655.61 / $655.61	Professional		$655.61	$655.61	$655.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,028.58 / $1,932.98 / $3,078.72	Facility		$1,028.58	$1,932.98	$3,078.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,074.83 / $1,074.83 / $1,074.83	Facility		$1,074.83	$1,074.83	$1,074.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $655.61 / $721.17 / $938.64	Facility		$655.61	$721.17	$938.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $829.05 / $829.05 / $829.05	Professional		$829.05	$829.05	$829.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $6,607.00 / $8,667.00	Facility		$1,471.00	$6,607.00	$8,667.00