Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.95 / $3,776.00 / $9,727.00	Facility		$101.95	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.95 / $105.92 / $141.09	Professional		$84.95	$105.92	$141.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,004.37 / $1,932.98 / $3,078.72	Facility		$1,004.37	$1,932.98	$3,078.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $106.82 / $235.64	Professional		$82.00	$106.82	$235.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $124.28 / $152.74	Facility		$100.00	$124.28	$152.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.75 / $144.16 / $247.03	Professional		$99.75	$144.16	$247.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.94 / $159.34 / $331.96	Facility		$101.94	$159.34	$331.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $119.49 / $119.49 / $119.49	Professional		$119.49	$119.49	$119.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $112.07 / $172.70	Professional		$82.31	$112.07	$172.70
United Facility/Professional Facility Modifier Low / Median / High Price $729.00 / $6,607.00 / $8,667.00	Facility		$729.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.95 / $124.02 / $270.82	Professional		$92.95	$124.02	$270.82