Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.65 / $2,685.00 / $9,727.00	Facility		$136.65	$2,685.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.19 / $195.50 / $307.73	Professional		$122.19	$195.50	$307.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $903.56 / $1,785.93 / $3,374.48	Facility		$903.56	$1,785.93	$3,374.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.85 / $183.90 / $251.48	Professional		$121.85	$183.90	$251.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.66 / $222.66 / $222.66	Facility		$222.66	$222.66	$222.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.59 / $175.78 / $267.88	Professional		$116.59	$175.78	$267.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.97 / $192.00 / $273.29	Facility		$120.97	$192.00	$273.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $228.62 / $228.62 / $228.62	Professional		$228.62	$228.62	$228.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $161.36 / $235.24	Professional		$114.26	$161.36	$235.24
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 $145.77 / $192.33 / $336.58	Professional		$145.77	$192.33	$336.58