Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.28 / $4,230.00 / $9,727.00	Facility		$495.28	$4,230.00	$9,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $371.46 / $408.56 / $923.08	Facility	54	$371.46	$408.56	$923.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.84 / $489.73 / $688.33	Professional		$418.84	$489.73	$688.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,600.83 / $4,298.45 / $7,860.56	Facility		$1,600.83	$4,298.45	$7,860.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.57 / $504.90 / $870.36	Professional		$425.57	$504.90	$870.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $736.07 / $1,370.63	Facility		$505.00	$736.07	$1,370.63
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $515.25 / $515.25 / $515.25	Facility	54	$515.25	$515.25	$515.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.35 / $579.15 / $1,052.74	Professional		$453.35	$579.15	$1,052.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $462.22 / $599.45 / $962.78	Facility		$462.22	$599.45	$962.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,168.83 / $1,168.83 / $1,168.83	Professional		$1,168.83	$1,168.83	$1,168.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $347.18 / $656.58	Professional		$75.30	$347.18	$656.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $10,257.00 / $16,249.00	Facility		$1,550.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $379.98 / $498.46 / $1,089.60	Professional		$379.98	$498.46	$1,089.60