Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.05 / $4,751.00 / $9,870.00	Facility		$382.05	$4,751.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.08 / $358.22 / $497.58	Professional		$281.08	$358.22	$497.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,954.85 / $4,452.39 / $7,388.84	Facility		$1,954.85	$4,452.39	$7,388.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.01 / $519.00 / $735.08	Professional		$305.01	$519.00	$735.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.75 / $375.00 / $1,512.28	Facility		$369.75	$375.00	$1,512.28
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $36.69 / $36.69 / $36.69	Facility	AS	$36.69	$36.69	$36.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.50 / $452.07 / $726.83	Professional		$358.50	$452.07	$726.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $358.22 / $460.71 / $705.20	Facility		$358.22	$460.71	$705.20
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $80.09 / $92.80 / $145.19	Facility	80	$80.09	$92.80	$145.19
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $56.06 / $64.95 / $101.64	Facility	AS	$56.06	$64.95	$101.64
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
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.71 / $290.55 / $504.10	Professional		$64.71	$290.55	$504.10
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 $266.42 / $366.01 / $776.28	Professional		$266.42	$366.01	$776.28