Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.25 / $5,218.92 / $16,467.00	Facility		$173.25	$5,218.92	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $1,656.13 / $3,799.61	Professional		$140.00	$1,656.13	$3,799.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,679.04 / $1,679.04 / $1,679.04	Professional	50	$1,679.04	$1,679.04	$1,679.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,636.78 / $5,454.14 / $10,970.79	Facility		$2,636.78	$5,454.14	$10,970.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.33 / $1,466.75 / $2,443.71	Professional		$133.33	$1,466.75	$2,443.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,803.49 / $1,803.49 / $2,317.52	Facility		$1,803.49	$1,803.49	$2,317.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.13 / $429.81 / $4,716.39	Professional		$208.13	$429.81	$4,716.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $173.25 / $2,004.70 / $5,023.56	Facility		$173.25	$2,004.70	$5,023.56
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $383.63 / $5,312.12 / $7,535.34	Facility	50	$383.63	$5,312.12	$7,535.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,246.79 / $1,595.65 / $2,654.05	Professional		$1,246.79	$1,595.65	$2,654.05
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,870.19 / $1,870.19 / $3,981.08	Professional	50	$1,870.19	$1,870.19	$3,981.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,261.11 / $1,704.07 / $2,652.40	Professional		$1,261.11	$1,704.07	$2,652.40
United Facility/Professional Facility Modifier Low / Median / High Price $791.00 / $10,257.00 / $16,249.00	Facility		$791.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,743.51 / $3,267.83 / $6,699.55	Professional		$1,743.51	$3,267.83	$6,699.55