Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.03 / $8,798.00 / $16,639.00	Facility		$1,375.03	$8,798.00	$16,639.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $687.52 / $687.52 / $1,772.53	Facility	52	$687.52	$687.52	$1,772.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,125.71 / $1,290.17 / $1,978.71	Professional		$1,125.71	$1,290.17	$1,978.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,482.89 / $5,405.49 / $8,981.33	Facility		$2,482.89	$5,405.49	$8,981.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,168.02 / $1,243.00 / $2,305.21	Professional		$1,168.02	$1,243.00	$2,305.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $580.00 / $3,200.28	Facility		$580.00	$580.00	$3,200.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,168.67 / $1,474.76 / $1,945.15	Professional		$1,168.67	$1,474.76	$1,945.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,189.99 / $1,564.00 / $2,120.39	Facility		$1,189.99	$1,564.00	$2,120.39
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $257.80 / $312.80 / $361.85	Facility	80	$257.80	$312.80	$361.85
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $180.46 / $218.96 / $253.29	Facility	AS	$180.46	$218.96	$253.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,872.87 / $2,872.87 / $2,872.87	Professional		$2,872.87	$2,872.87	$2,872.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.76 / $856.98 / $1,363.74	Professional		$131.76	$856.98	$1,363.74
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 $1,013.12 / $1,253.16 / $3,318.32	Professional		$1,013.12	$1,253.16	$3,318.32