Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.25 / $4,230.00 / $9,870.00	Facility		$171.25	$4,230.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $333.54 / $448.66	Professional		$143.10	$333.54	$448.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.56 / $344.76 / $437.63	Professional		$136.56	$344.76	$437.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.99 / $890.00 / $1,512.28	Facility		$248.99	$890.00	$1,512.28
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $199.19 / $199.19 / $199.19	Facility	52	$199.19	$199.19	$199.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.53 / $373.54 / $736.83	Professional		$185.53	$373.54	$736.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $171.25 / $448.66 / $730.85	Facility		$171.25	$448.66	$730.85
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $388.45 / $807.78 / $1,096.28	Facility	50	$388.45	$807.78	$1,096.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,300.71 / $1,300.71 / $1,300.71	Professional		$1,300.71	$1,300.71	$1,300.71
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,951.06 / $1,951.06 / $1,951.06	Professional	50	$1,951.06	$1,951.06	$1,951.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $338.70 / $561.87	Professional		$34.26	$338.70	$561.87
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 $326.95 / $461.59 / $967.64	Professional		$326.95	$461.59	$967.64