Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $2,685.00 / $9,727.00	Facility		$132.91	$2,685.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.91 / $175.83 / $300.58	Professional		$118.91	$175.83	$300.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,078.21 / $2,118.61 / $3,520.93	Facility		$1,078.21	$2,118.61	$3,520.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.79 / $155.61 / $223.83	Professional		$113.79	$155.61	$223.83
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 $109.67 / $165.98 / $260.39	Professional		$109.67	$165.98	$260.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.82 / $179.06 / $256.74	Facility		$117.82	$179.06	$256.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $222.62 / $222.62 / $222.62	Professional		$222.62	$222.62	$222.62
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 $1,106.00 / $3,070.00 / $6,584.00	Facility		$1,106.00	$3,070.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.49 / $187.87 / $328.77	Professional		$142.49	$187.87	$328.77