Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.40 / $5,866.00 / $16,467.00	Facility		$876.40	$5,866.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $680.64 / $686.61 / $876.40	Professional		$680.64	$686.61	$876.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,347.67 / $6,299.51 / $10,537.94	Facility		$3,347.67	$6,299.51	$10,537.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $626.39 / $714.29 / $1,246.63	Professional		$626.39	$714.29	$1,246.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $505.00 / $2,594.85	Facility		$505.00	$505.00	$2,594.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.56 / $748.50 / $1,645.56	Professional		$488.56	$748.50	$1,645.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $579.00 / $806.00 / $1,080.48	Facility		$579.00	$806.00	$1,080.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $660.00 / $2,174.76	Professional		$660.00	$660.00	$2,174.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $475.91 / $740.91	Professional		$69.42	$475.91	$740.91
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 $495.77 / $650.54 / $1,107.41	Professional		$495.77	$650.54	$1,107.41