Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.03 / $4,375.00 / $16,467.00	Facility		$224.03	$4,375.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.68 / $197.55 / $251.21	Professional		$181.68	$197.55	$251.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $848.67 / $1,831.01 / $3,049.62	Facility		$848.67	$1,831.01	$3,049.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $183.15 / $265.54	Professional		$127.00	$183.15	$265.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.06 / $580.00 / $1,074.83	Facility		$225.06	$580.00	$1,074.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.55 / $257.41 / $515.04	Professional		$197.55	$257.41	$515.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $196.23 / $247.00 / $409.50	Facility		$196.23	$247.00	$409.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $829.05 / $829.05 / $829.05	Professional		$829.05	$829.05	$829.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $160.15 / $274.23	Professional		$34.22	$160.15	$274.23
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 $153.04 / $204.83 / $518.79	Professional		$153.04	$204.83	$518.79