Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.34 / $3,776.00 / $9,727.00	Facility		$40.34	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $84.42 / $199.21	Professional		$41.71	$84.42	$199.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.67 / $1,088.02 / $1,765.12	Facility		$575.67	$1,088.02	$1,765.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $115.30 / $152.33	Professional		$56.94	$115.30	$152.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.11 / $121.11 / $121.11	Facility		$121.11	$121.11	$121.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.80 / $126.53 / $177.24	Professional		$75.80	$126.53	$177.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.37 / $105.00 / $158.47	Facility		$44.37	$105.00	$158.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $126.60 / $126.60	Professional		$126.60	$126.60	$126.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $97.39 / $134.20	Professional		$78.41	$97.39	$134.20
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 $87.66 / $116.86 / $204.51	Professional		$87.66	$116.86	$204.51