Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $3,776.00 / $9,727.00	Facility		$190.55	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.55 / $217.93 / $340.46	Professional		$153.55	$217.93	$340.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $930.20 / $2,033.98 / $3,486.32	Facility		$930.20	$2,033.98	$3,486.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $188.36 / $329.58	Professional		$125.00	$188.36	$329.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.08 / $375.00 / $1,158.06	Facility		$284.08	$375.00	$1,158.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.06 / $277.19 / $571.08	Professional		$171.06	$277.19	$571.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.22 / $282.17 / $521.48	Facility		$162.22	$282.17	$521.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.71 / $507.71 / $507.71	Professional		$507.71	$507.71	$507.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $264.86 / $437.06	Professional		$34.26	$264.86	$437.06
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 $224.39 / $283.76 / $675.38	Professional		$224.39	$283.76	$675.38