Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.24 / $11,018.00 / $18,276.00	Facility		$764.24	$11,018.00	$18,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $764.24 / $764.24 / $965.27	Professional		$764.24	$764.24	$965.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,784.39 / $8,564.44 / $13,640.85	Facility		$3,784.39	$8,564.44	$13,640.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,345.86 / $3,345.86 / $4,299.49	Facility		$3,345.86	$3,345.86	$4,299.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $764.24 / $967.19 / $1,617.10	Facility		$764.24	$967.19	$1,617.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,478.48 / $3,478.48 / $3,478.48	Professional		$3,478.48	$3,478.48	$3,478.48
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 $2,155.00 / $12,798.00 / $19,665.00	Facility		$2,155.00	$12,798.00	$19,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $950.44 / $1,656.83 / $2,769.19	Professional		$950.44	$1,656.83	$2,769.19