Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.30 / $3,776.00 / $9,727.00	Facility		$141.30	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.92 / $183.24 / $266.33	Professional		$125.92	$183.24	$266.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.98 / $405.05 / $629.99	Facility		$199.98	$405.05	$629.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.51 / $235.00 / $282.00	Professional		$122.51	$235.00	$282.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.14 / $213.14 / $213.14	Facility		$213.14	$213.14	$213.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.19 / $186.34 / $272.45	Professional		$133.19	$186.34	$272.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.92 / $199.85 / $278.24	Facility		$125.92	$199.85	$278.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $214.99 / $214.99 / $214.99	Professional		$214.99	$214.99	$214.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $184.50 / $238.17	Professional		$144.50	$184.50	$238.17
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 $147.99 / $195.90 / $342.83	Professional		$147.99	$195.90	$342.83