Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.75 / $2,057.00 / $2,595.00	Facility		$348.75	$2,057.00	$2,595.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.75 / $1,006.33 / $1,138.36	Professional		$348.75	$1,006.33	$1,138.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.70 / $373.70 / $627.32	Facility		$175.70	$373.70	$627.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $513.27 / $4,688.88 / $4,783.06	Facility		$513.27	$4,688.88	$4,783.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $348.21 / $586.82 / $1,144.48	Facility		$348.21	$586.82	$1,144.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $759.31 / $759.31 / $1,292.08	Professional		$759.31	$759.31	$1,292.08
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 $230.13 / $230.13 / $1,102.58	Facility		$230.13	$230.13	$1,102.58
United Facility/Professional Professional Modifier Low / Median / High Price $357.39 / $487.21 / $771.42	Professional		$357.39	$487.21	$771.42