Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.57 / $8,783.00 / $16,639.00	Facility		$754.57	$8,783.00	$16,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.58 / $678.26 / $856.80	Professional		$582.58	$678.26	$856.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,801.20 / $5,852.47 / $11,858.49	Facility		$2,801.20	$5,852.47	$11,858.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.16 / $735.54 / $1,225.54	Professional		$617.16	$735.54	$1,225.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $753.64 / $890.00 / $1,370.63	Facility		$753.64	$890.00	$1,370.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $654.59 / $850.40 / $1,458.22	Professional		$654.59	$850.40	$1,458.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $700.46 / $831.00 / $1,439.74	Facility		$700.46	$831.00	$1,439.74
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 / $483.28 / $899.05	Professional		$75.30	$483.28	$899.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,456.00 / $19,591.00	Facility		$2,155.00	$12,456.00	$19,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $528.91 / $706.37 / $1,317.63	Professional		$528.91	$706.37	$1,317.63