Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.01 / $1,764.03 / $9,062.00	Facility		$105.01	$1,764.03	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.87 / $105.01 / $188.46	Professional		$57.87	$105.01	$188.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,046.31 / $2,116.75 / $3,748.86	Facility		$1,046.31	$2,116.75	$3,748.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $103.20 / $152.04	Professional		$86.00	$103.20	$152.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $120.04 / $169.73	Professional		$83.34	$120.04	$169.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.86 / $116.74 / $158.72	Facility		$94.86	$116.74	$158.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.44 / $100.11 / $133.26	Professional		$80.44	$100.11	$133.26
United Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $1,138.00 / $2,922.00	Facility		$384.00	$1,138.00	$2,922.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $118.02 / $194.73	Professional		$82.81	$118.02	$194.73