Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.83 / $2,284.80 / $9,062.00	Facility		$184.83	$2,284.80	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.05 / $227.41 / $316.19	Professional		$156.05	$227.41	$316.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $503.90 / $1,023.15 / $1,810.69	Facility		$503.90	$1,023.15	$1,810.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $188.66 / $303.17	Professional		$145.00	$188.66	$303.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $255.98 / $270.31	Facility		$100.00	$255.98	$270.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.31 / $274.14 / $460.93	Professional		$182.31	$274.14	$460.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.82 / $278.00 / $455.00	Facility		$177.82	$278.00	$455.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $267.37	Professional		$267.37	$267.37	$267.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.50 / $240.57 / $374.49	Professional		$180.50	$240.57	$374.49
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $3,866.00 / $6,584.00	Facility		$490.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.30 / $256.24 / $569.33	Professional		$197.30	$256.24	$569.33