Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.60 / $4,230.00 / $9,727.00	Facility		$111.60	$4,230.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.60 / $174.93 / $307.11	Professional		$111.60	$174.93	$307.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,690.15 / $3,231.96 / $5,001.87	Facility		$1,690.15	$3,231.96	$5,001.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.69 / $184.94 / $332.87	Professional		$94.69	$184.94	$332.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.97 / $165.31 / $890.00	Facility		$154.97	$165.31	$890.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.05 / $264.88 / $436.10	Professional		$151.05	$264.88	$436.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $133.91 / $284.16 / $485.00	Facility		$133.91	$284.16	$485.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $162.61 / $162.61 / $162.61	Professional		$162.61	$162.61	$162.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $187.67 / $290.58	Professional		$137.22	$187.67	$290.58
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 $223.70 / $288.83 / $477.32	Professional		$223.70	$288.83	$477.32