Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.49 / $3,776.00 / $9,727.00	Facility		$103.49	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.68 / $139.86 / $226.24	Professional		$91.68	$139.86	$226.24
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 $93.17 / $137.00 / $186.24	Professional		$93.17	$137.00	$186.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.13 / $158.13 / $158.13	Facility		$158.13	$158.13	$158.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $136.15 / $198.93	Professional		$96.60	$136.15	$198.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.11 / $140.81 / $202.72	Facility		$91.11	$140.81	$202.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $146.51 / $146.51 / $146.51	Professional		$146.51	$146.51	$146.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $117.12 / $157.40	Professional		$86.25	$117.12	$157.40
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 $106.61 / $141.40 / $247.45	Professional		$106.61	$141.40	$247.45