Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.63 / $3,776.00 / $9,727.00	Facility		$152.63	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $152.63 / $212.33	Professional		$123.62	$152.63	$212.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $442.57 / $787.22 / $1,357.01	Facility		$442.57	$787.22	$1,357.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $142.52 / $206.00	Professional		$129.00	$142.52	$206.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.53 / $350.53 / $375.00	Facility		$350.53	$350.53	$375.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.35 / $177.28 / $271.72	Professional		$140.35	$177.28	$271.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.35 / $168.00 / $240.37	Facility		$132.35	$168.00	$240.37
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 $116.49 / $153.09 / $198.63	Professional		$116.49	$153.09	$198.63
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 $125.71 / $163.47 / $281.62	Professional		$125.71	$163.47	$281.62