Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.10 / $3,776.00 / $9,727.00	Facility		$216.10	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.19 / $210.63 / $331.26	Professional		$179.19	$210.63	$331.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.64 / $409.97 / $687.05	Facility		$208.64	$409.97	$687.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $192.62 / $306.41	Professional		$171.00	$192.62	$306.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $194.09 / $222.44	Facility		$100.00	$194.09	$222.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.48 / $240.50 / $421.18	Professional		$177.48	$240.50	$421.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $192.39 / $243.82 / $401.89	Facility		$192.39	$243.82	$401.89
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 $34.22 / $160.15 / $274.23	Professional		$34.22	$160.15	$274.23
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 $147.84 / $192.00 / $437.90	Professional		$147.84	$192.00	$437.90