Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,063.19 / $5,780.00 / $14,691.00	Facility		$1,063.19	$5,780.00	$14,691.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $797.39 / $797.39 / $797.39	Facility	54	$797.39	$797.39	$797.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.55 / $1,027.17 / $1,063.19	Professional		$821.55	$1,027.17	$1,063.19
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $109.56 / $154.08 / $159.47	Professional	55	$109.56	$154.08	$159.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,232.85 / $4,580.68 / $9,418.04	Facility		$2,232.85	$4,580.68	$9,418.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.92 / $1,749.00 / $2,504.60	Professional		$779.92	$1,749.00	$2,504.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,152.40 / $6,152.40 / $6,152.40	Facility		$6,152.40	$6,152.40	$6,152.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $847.25 / $1,130.42 / $2,014.50	Professional		$847.25	$1,130.42	$2,014.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $821.55 / $1,124.36 / $1,275.83	Facility		$821.55	$1,124.36	$1,275.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,115.88 / $5,115.88 / $5,115.88	Professional		$5,115.88	$5,115.88	$5,115.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $573.72 / $937.93	Professional		$71.16	$573.72	$937.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,666.00 / $16,223.00 / $23,485.00	Facility		$2,666.00	$16,223.00	$23,485.00
United Facility/Professional Professional Modifier Low / Median / High Price $777.10 / $912.90 / $1,604.61	Professional		$777.10	$912.90	$1,604.61