Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $10,000.00 / $18,197.01	Facility		$5,495.41	$10,000.00	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $3,630.78	Professional		$1,778.28	$2,137.96	$3,630.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $18,197.01 / $34,673.69	Facility		$4,365.16	$18,197.01	$34,673.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $2,398.83	Professional		$1,122.02	$1,737.80	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $3,467.37	Facility		$891.25	$891.25	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,398.83 / $4,570.88	Professional		$1,023.29	$2,398.83	$4,570.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $4,677.35	Professional		$2,187.76	$2,187.76	$4,677.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,238.72 / $4,168.69	Facility		$1,258.93	$2,238.72	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $20,417.38 / $25,703.96	Facility		$4,677.35	$20,417.38	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $3,235.94	Professional		$1,230.27	$1,949.84	$3,235.94