Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.13 / $1,053.15 / $6,403.15	Facility		$945.13	$1,053.15	$6,403.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,053.15 / $1,053.15 / $1,174.67	Professional		$1,053.15	$1,053.15	$1,174.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,377.20 / $1,417.71 / $8,312.34	Facility		$1,377.20	$1,417.71	$8,312.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,350.19 / $1,350.19 / $1,846.38	Professional		$1,350.19	$1,350.19	$1,846.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,453.83 / $3,914.19 / $7,698.48	Facility		$2,453.83	$3,914.19	$7,698.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.61 / $789.86 / $1,939.55	Professional		$615.61	$789.86	$1,939.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,053.15 / $1,350.19 / $1,755.25	Facility		$1,053.15	$1,350.19	$1,755.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,350.19 / $1,350.19 / $1,350.19	Professional		$1,350.19	$1,350.19	$1,350.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $742.60 / $742.60 / $1,069.34	Professional		$742.60	$742.60	$1,069.34
United Facility/Professional Professional Modifier Low / Median / High Price $567.08 / $810.11 / $1,350.19	Professional		$567.08	$810.11	$1,350.19