Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.13 / $4,230.00 / $9,870.00	Facility		$63.13	$4,230.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $93.29 / $400.00	Professional		$63.13	$93.29	$400.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.08 / $293.87 / $494.12	Facility		$137.08	$293.87	$494.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $114.00 / $129.29	Professional		$61.44	$114.00	$129.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.44 / $81.44 / $81.44	Facility		$81.44	$81.44	$81.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.31 / $127.31 / $127.31	Professional		$127.31	$127.31	$127.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.13 / $93.29 / $107.28	Facility		$63.13	$93.29	$107.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $146.51 / $146.51 / $146.51	Professional		$146.51	$146.51	$146.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.69 / $96.84 / $136.88	Professional		$77.69	$96.84	$136.88
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,221.00 / $3,585.00	Facility		$358.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.55 / $102.56 / $179.48	Professional		$76.55	$102.56	$179.48