Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $10,000.00 / $18,197.01	Facility		$2,951.21	$10,000.00	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,995.26	Professional		$977.24	$1,148.15	$1,995.26
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 $1,000.00 / $1,202.26 / $1,819.70	Professional		$1,000.00	$1,202.26	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,862.09	Facility		$891.25	$891.25	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,454.71	Professional		$1,122.02	$1,445.44	$2,454.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,570.40	Professional		$1,778.28	$1,778.28	$2,570.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,454.71	Facility		$1,071.52	$1,445.44	$2,454.71
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 $912.01 / $1,148.15 / $1,905.46	Professional		$912.01	$1,148.15	$1,905.46