Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.67 / $7,799.00 / $21,886.00	Facility		$99.67	$7,799.00	$21,886.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.67 / $99.67 / $104.76	Professional		$99.67	$99.67	$104.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,120.86 / $2,185.31 / $2,913.75	Facility		$2,120.86	$2,185.31	$2,913.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,985.43 / $1,985.43 / $1,985.43	Facility		$1,985.43	$1,985.43	$1,985.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.67 / $110.51 / $134.55	Facility		$99.67	$110.51	$134.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,675.17 / $1,675.17 / $1,675.17	Professional		$1,675.17	$1,675.17	$1,675.17
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 $791.00 / $10,257.00 / $16,249.00	Facility		$791.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.81 / $145.54 / $264.52	Professional		$106.81	$145.54	$264.52