Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.65 / $4,230.00 / $9,727.00	Facility		$750.65	$4,230.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.28 / $781.37 / $1,078.84	Professional		$674.28	$781.37	$1,078.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $611.99 / $1,136.88 / $1,952.01	Facility		$611.99	$1,136.88	$1,952.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $651.57 / $762.00 / $1,177.81	Professional		$651.57	$762.00	$1,177.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,604.11 / $1,604.11 / $1,604.11	Facility		$1,604.11	$1,604.11	$1,604.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.95 / $874.25 / $1,153.69	Professional		$675.95	$874.25	$1,153.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $676.97 / $844.94 / $1,146.93	Facility		$676.97	$844.94	$1,146.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,397.41 / $1,397.41 / $1,397.41	Professional		$1,397.41	$1,397.41	$1,397.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $523.65 / $855.40	Professional		$65.88	$523.65	$855.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,249.00 / $9,900.00	Facility		$1,689.00	$5,249.00	$9,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $618.22 / $770.07 / $1,347.62	Professional		$618.22	$770.07	$1,347.62