Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.20 / $4,673.00 / $9,870.00	Facility		$612.20	$4,673.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.74 / $568.96 / $813.91	Professional		$479.74	$568.96	$813.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.64 / $438.34 / $830.24	Facility		$208.64	$438.34	$830.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.00 / $520.21 / $764.85	Professional		$430.00	$520.21	$764.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.80 / $505.00 / $780.00	Facility		$210.80	$505.00	$780.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.84 / $637.28 / $1,183.08	Professional		$446.84	$637.28	$1,183.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $522.00 / $629.00 / $1,145.39	Facility		$522.00	$629.00	$1,145.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $168.16 / $168.16 / $168.16	Professional		$168.16	$168.16	$168.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $380.60 / $706.91	Professional		$75.30	$380.60	$706.91
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 $419.89 / $545.30 / $1,016.45	Professional		$419.89	$545.30	$1,016.45