Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.46 / $4,375.00 / $16,467.00	Facility		$428.46	$4,375.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.19 / $365.41 / $556.99	Professional		$298.19	$365.41	$556.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,954.85 / $4,408.50 / $7,388.84	Facility		$1,954.85	$4,408.50	$7,388.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.64 / $544.00 / $956.52	Professional		$348.64	$544.00	$956.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $424.06 / $1,512.28	Facility		$375.00	$424.06	$1,512.28
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $263.31 / $263.31 / $263.31	Facility	62	$263.31	$263.31	$263.31
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $42.13 / $42.13 / $42.13	Facility	AS	$42.13	$42.13	$42.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.60 / $486.95 / $891.84	Professional		$361.60	$486.95	$891.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $382.44 / $454.00 / $781.64	Facility		$382.44	$454.00	$781.64
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $82.04 / $90.80 / $154.16	Facility	80	$82.04	$90.80	$154.16
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $57.43 / $63.56 / $107.92	Facility	AS	$57.43	$63.56	$107.92
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 / $342.42 / $577.90	Professional		$69.90	$342.42	$577.90
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 $287.62 / $385.24 / $857.64	Professional		$287.62	$385.24	$857.64