Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.61 / $4,862.00 / $16,467.00	Facility		$859.61	$4,862.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.54 / $859.61 / $1,117.49	Professional		$657.54	$859.61	$1,117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,313.35 / $3,114.08 / $8,928.20	Facility		$2,313.35	$3,114.08	$8,928.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.52 / $810.00 / $1,434.44	Professional		$677.52	$810.00	$1,434.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,931.16 / $3,931.16 / $5,051.60	Facility		$3,931.16	$3,931.16	$5,051.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $801.13 / $966.68 / $1,875.06	Professional		$801.13	$966.68	$1,875.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $689.20 / $972.24 / $1,472.89	Facility		$689.20	$972.24	$1,472.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,478.14 / $3,478.14 / $3,935.14	Professional		$3,478.14	$3,478.14	$3,935.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $569.92 / $1,036.22	Professional		$77.34	$569.92	$1,036.22
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $19,627.00 / $25,620.00	Facility		$3,028.00	$19,627.00	$25,620.00
United Facility/Professional Professional Modifier Low / Median / High Price $666.68 / $973.39 / $1,923.65	Professional		$666.68	$973.39	$1,923.65