Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.00 / $3,801.87 / $16,467.00	Facility		$410.00	$3,801.87	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.50 / $1,563.92 / $2,112.54	Professional		$291.50	$1,563.92	$2,112.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,118.00 / $7,047.08 / $11,968.54	Facility		$2,118.00	$7,047.08	$11,968.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.76 / $609.01 / $1,754.84	Professional		$284.76	$609.01	$1,754.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,021.41 / $2,021.41 / $2,597.55	Facility		$2,021.41	$2,021.41	$2,597.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.54 / $841.49 / $2,806.54	Professional		$398.54	$841.49	$2,806.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $348.50 / $1,742.64 / $2,981.85	Facility		$348.50	$1,742.64	$2,981.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,370.53 / $1,788.46 / $2,203.92	Professional		$1,370.53	$1,788.46	$2,203.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,286.74 / $1,639.85 / $2,461.48	Professional		$1,286.74	$1,639.85	$2,461.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,798.00 / $19,665.00	Facility		$2,155.00	$12,798.00	$19,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,505.68 / $2,118.00 / $4,148.66	Professional		$1,505.68	$2,118.00	$4,148.66