Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.47 / $4,230.00 / $9,727.00	Facility		$190.47	$4,230.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.51 / $190.47 / $251.66	Professional		$159.51	$190.47	$251.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $1,831.01 / $3,049.62	Facility		$856.00	$1,831.01	$3,049.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $187.20 / $277.27	Professional		$156.00	$187.20	$277.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.14 / $446.43 / $780.00	Facility		$286.14	$446.43	$780.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.60 / $234.43 / $432.23	Professional		$159.60	$234.43	$432.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $182.51 / $242.90 / $412.93	Facility		$182.51	$242.90	$412.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $368.99 / $368.99 / $368.99	Professional		$368.99	$368.99	$368.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $164.97 / $296.16	Professional		$34.26	$164.97	$296.16
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 $162.47 / $210.53 / $399.77	Professional		$162.47	$210.53	$399.77