Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $15,848.93 / $17,378.01	Facility		$4,365.16	$15,848.93	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,466.84 / $5,248.07	Professional		$4,265.80	$4,466.84	$5,248.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,248.07 / $5,754.40	Facility		$4,265.80	$5,248.07	$5,754.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $3,715.35	Facility		$1,737.80	$1,737.80	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,495.41	Professional		$5,248.07	$5,248.07	$5,495.41