Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.24 / $1,275.11 / $7,799.00	Facility		$104.24	$1,275.11	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $156.86 / $299.48	Professional		$69.20	$156.86	$299.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $504.30 / $1,011.69 / $1,753.08	Facility		$504.30	$1,011.69	$1,753.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $145.80 / $247.22	Professional		$94.71	$145.80	$247.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.41 / $163.41 / $163.41	Facility		$163.41	$163.41	$163.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.32 / $197.20 / $269.52	Professional		$119.32	$197.20	$269.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.09 / $148.06 / $260.89	Facility		$73.09	$148.06	$260.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $166.95 / $166.95 / $166.95	Professional		$166.95	$166.95	$166.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.41 / $131.36 / $191.61	Professional		$91.41	$131.36	$191.61
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.42 / $160.60 / $294.39	Professional		$112.42	$160.60	$294.39