Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.73 / $4,230.00 / $9,870.00	Facility		$167.73	$4,230.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.27 / $167.73 / $241.40	Professional		$150.27	$167.73	$241.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.88 / $357.74 / $595.57	Facility		$179.88	$357.74	$595.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.72 / $225.00 / $318.00	Professional		$142.72	$225.00	$318.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.53 / $350.53 / $505.00	Facility		$350.53	$350.53	$505.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.82 / $235.73 / $344.29	Professional		$162.82	$235.73	$344.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.35 / $273.66 / $392.30	Facility		$144.35	$273.66	$392.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $282.00 / $282.00 / $282.00	Professional		$282.00	$282.00	$282.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.14 / $167.68 / $227.20	Professional		$134.14	$167.68	$227.20
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 $115.20 / $150.88 / $406.66	Professional		$115.20	$150.88	$406.66