Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.14 / $4,673.00 / $17,493.64	Facility		$729.14	$4,673.00	$17,493.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.97 / $584.25 / $1,064.82	Professional		$440.97	$584.25	$1,064.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,715.67 / $4,464.17 / $7,388.84	Facility		$1,715.67	$4,464.17	$7,388.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.46 / $693.00 / $1,003.19	Professional		$475.46	$693.00	$1,003.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $576.94 / $1,512.28	Facility		$505.00	$576.94	$1,512.28
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $57.68 / $57.68 / $57.68	Facility	AS	$57.68	$57.68	$57.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.96 / $672.00 / $1,118.67	Professional		$507.96	$672.00	$1,118.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $544.83 / $646.00 / $1,099.61	Facility		$544.83	$646.00	$1,099.61
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $115.09 / $137.19 / $207.33	Facility	80	$115.09	$137.19	$207.33
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $80.56 / $90.44 / $145.13	Facility	AS	$80.56	$90.44	$145.13
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 $69.90 / $457.30 / $768.88	Professional		$69.90	$457.30	$768.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $10,147.00 / $16,249.00	Facility		$1,550.00	$10,147.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $411.53 / $540.66 / $1,199.07	Professional		$411.53	$540.66	$1,199.07