Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.13 / $1,743.25 / $9,062.00	Facility		$431.13	$1,743.25	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.83 / $358.16 / $629.64	Professional		$243.83	$358.16	$629.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $792.00 / $1,730.23 / $3,049.62	Facility		$792.00	$1,730.23	$3,049.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.45 / $329.45 / $508.15	Professional		$233.45	$329.45	$508.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $585.00 / $1,838.22	Facility		$375.00	$585.00	$1,838.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.61 / $386.36 / $717.47	Professional		$266.61	$386.36	$717.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $274.64 / $370.08 / $641.59	Facility		$274.64	$370.08	$641.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $534.00 / $1,569.80	Professional		$275.00	$534.00	$1,569.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $317.23 / $515.50	Professional		$34.26	$317.23	$515.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.00 / $15,256.00 / $20,836.00	Facility		$1,698.00	$15,256.00	$20,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $290.79 / $380.27 / $713.75	Professional		$290.79	$380.27	$713.75