Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.85 / $3,776.00 / $9,727.00	Facility		$117.85	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.40 / $163.58 / $221.60	Professional		$106.40	$163.58	$221.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $425.38 / $803.85 / $1,385.64	Facility		$425.38	$803.85	$1,385.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.22 / $230.00 / $276.00	Professional		$105.22	$230.00	$276.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.36 / $217.36 / $217.36	Facility		$217.36	$217.36	$217.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $169.37 / $262.61	Professional		$114.26	$169.37	$262.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.40 / $170.24 / $262.91	Facility		$106.40	$170.24	$262.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.89 / $213.89 / $213.89	Professional		$213.89	$213.89	$213.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.82 / $194.79 / $268.41	Professional		$156.82	$194.79	$268.41
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 $134.65 / $177.01 / $309.77	Professional		$134.65	$177.01	$309.77