Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.58 / $2,685.00 / $9,727.00	Facility		$160.58	$2,685.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $209.40 / $348.50	Professional		$134.40	$209.40	$348.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $618.30 / $1,093.77 / $1,765.12	Facility		$618.30	$1,093.77	$1,765.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $192.81 / $275.41	Professional		$144.22	$192.81	$275.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.58 / $239.58 / $239.58	Facility		$239.58	$239.58	$239.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.18 / $201.40 / $302.67	Professional		$139.18	$201.40	$302.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $143.18 / $210.69 / $301.86	Facility		$143.18	$210.69	$301.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $244.98 / $244.98 / $244.98	Professional		$244.98	$244.98	$244.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.51 / $214.72 / $280.20	Professional		$172.51	$214.72	$280.20
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 $166.19 / $217.82 / $381.19	Professional		$166.19	$217.82	$381.19