Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,649.40 / $9,062.00 / $18,276.00	Facility		$1,649.40	$9,062.00	$18,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,283.84 / $1,453.49 / $1,649.40	Professional		$1,283.84	$1,453.49	$1,649.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,574.76 / $9,263.14 / $15,459.94	Facility		$4,574.76	$9,263.14	$15,459.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,193.90 / $1,521.00 / $2,502.33	Professional		$1,193.90	$1,521.00	$2,502.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $815.00 / $2,594.85	Facility		$815.00	$815.00	$2,594.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,005.51 / $1,483.39 / $3,112.29	Professional		$1,005.51	$1,483.39	$3,112.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $1,490.41 / $2,226.69	Facility		$1,075.00	$1,490.41	$2,226.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,062.00 / $1,062.00 / $2,174.76	Professional		$1,062.00	$1,062.00	$2,174.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.85 / $877.10 / $1,437.62	Professional		$138.85	$877.10	$1,437.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,779.00 / $12,456.00 / $19,591.00	Facility		$1,779.00	$12,456.00	$19,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $971.51 / $1,298.76 / $2,123.19	Professional		$971.51	$1,298.76	$2,123.19