Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.97 / $7,182.00 / $16,467.00	Facility		$128.97	$7,182.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.97 / $133.66 / $154.84	Professional		$128.97	$133.66	$154.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.53 / $133.91 / $174.40	Professional		$127.53	$133.91	$174.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $615.00 / $2,472.77	Facility		$375.00	$615.00	$2,472.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.76 / $679.76 / $679.76	Professional		$679.76	$679.76	$679.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.97 / $137.22 / $209.98	Facility		$128.97	$137.22	$209.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $137.22 / $1,449.63	Professional		$137.22	$137.22	$1,449.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $4,877.00 / $8,667.00	Facility		$614.00	$4,877.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.93 / $163.15 / $330.67	Professional		$121.93	$163.15	$330.67