Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.18 / $2,685.00 / $9,727.00	Facility		$132.18	$2,685.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.35 / $172.43 / $250.55	Professional		$105.35	$172.43	$250.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $713.81 / $1,443.25 / $3,074.34	Facility		$713.81	$1,443.25	$3,074.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.43 / $154.40 / $228.70	Professional		$117.43	$154.40	$228.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.25 / $215.25 / $215.25	Facility		$215.25	$215.25	$215.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.59 / $170.55 / $259.75	Professional		$110.59	$170.55	$259.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $173.93 / $255.43	Facility		$117.36	$173.93	$255.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $222.08 / $222.08 / $222.08	Professional		$222.08	$222.08	$222.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.94 / $161.47 / $230.22	Professional		$120.94	$161.47	$230.22
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.38 / $186.96 / $308.48	Professional		$143.38	$186.96	$308.48