Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.20 / $3,776.00 / $9,727.00	Facility		$277.20	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.11 / $366.00 / $524.08	Professional		$240.11	$366.00	$524.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,004.37 / $1,932.98 / $3,214.67	Facility		$1,004.37	$1,932.98	$3,214.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.96 / $385.79 / $676.95	Professional		$240.96	$385.79	$676.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $416.47 / $447.42	Facility		$100.00	$416.47	$447.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.87 / $427.08 / $746.52	Professional		$269.87	$427.08	$746.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $277.68 / $448.85 / $694.58	Facility		$277.68	$448.85	$694.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $402.15 / $402.15 / $402.15	Professional		$402.15	$402.15	$402.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $276.70 / $503.84	Professional		$36.68	$276.70	$503.84
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 $310.72 / $413.32 / $905.34	Professional		$310.72	$413.32	$905.34