Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.23 / $6,179.60 / $16,467.00	Facility		$778.23	$6,179.60	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.25 / $667.42 / $1,114.19	Professional		$468.25	$667.42	$1,114.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,182.94 / $4,945.92 / $8,588.78	Facility		$2,182.94	$4,945.92	$8,588.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.60 / $626.40 / $928.49	Professional		$455.60	$626.40	$928.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $789.27 / $890.00 / $2,581.96	Facility		$789.27	$890.00	$2,581.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $78.93 / $78.93 / $78.93	Facility	AS	$78.93	$78.93	$78.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.44 / $803.33 / $1,302.63	Professional		$576.44	$803.33	$1,302.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $525.02 / $856.05 / $1,322.99	Facility		$525.02	$856.05	$1,322.99
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $118.63 / $185.60 / $293.02	Facility	80	$118.63	$185.60	$293.02
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $83.04 / $129.91 / $191.23	Facility	AS	$83.04	$129.91	$191.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,144.91 / $2,144.91 / $2,144.91	Professional		$2,144.91	$2,144.91	$2,144.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $488.46 / $910.74	Professional		$75.30	$488.46	$910.74
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 $585.79 / $774.62 / $1,534.55	Professional		$585.79	$774.62	$1,534.55