Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.30 / $3,776.00 / $9,727.00	Facility		$128.30	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.29 / $166.75 / $295.95	Professional		$115.29	$166.75	$295.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $359.74 / $700.22 / $1,108.90	Facility		$359.74	$700.22	$1,108.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.70 / $196.00 / $258.72	Professional		$110.70	$196.00	$258.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.57 / $174.57 / $174.57	Facility		$174.57	$174.57	$174.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.98 / $166.59 / $245.84	Professional		$120.98	$166.59	$245.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.88 / $173.30 / $240.57	Facility		$113.88	$173.30	$240.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $184.42 / $184.42 / $184.42	Professional		$184.42	$184.42	$184.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $151.17 / $199.13	Professional		$114.26	$151.17	$199.13
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 $127.83 / $169.94 / $297.39	Professional		$127.83	$169.94	$297.39