Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.94 / $3,776.00 / $9,727.00	Facility		$74.94	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.80 / $74.94 / $155.33	Professional		$57.80	$74.94	$155.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.24 / $638.20 / $1,006.88	Facility		$338.24	$638.20	$1,006.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $80.81 / $127.69	Professional		$64.06	$80.81	$127.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.27 / $100.00 / $111.58	Facility		$78.27	$100.00	$111.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.11 / $105.94 / $175.77	Professional		$77.11	$105.94	$175.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.94 / $99.68 / $161.22	Facility		$74.94	$99.68	$161.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $75.83 / $75.83	Professional		$75.83	$75.83	$75.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $75.30 / $117.88	Professional		$54.90	$75.30	$117.88
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 $68.90 / $89.21 / $196.77	Professional		$68.90	$89.21	$196.77