Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.57 / $3,776.00 / $9,727.00	Facility		$214.57	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.16 / $210.59 / $251.12	Professional		$164.16	$210.59	$251.12
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 $130.00 / $207.14 / $309.58	Professional		$130.00	$207.14	$309.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $210.80 / $320.20	Facility		$100.00	$210.80	$320.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.30 / $259.38 / $461.08	Professional		$195.30	$259.38	$461.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $196.00 / $270.32 / $426.90	Facility		$196.00	$270.32	$426.90
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 $34.26 / $182.82 / $322.09	Professional		$34.26	$182.82	$322.09
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 $172.01 / $223.07 / $427.56	Professional		$172.01	$223.07	$427.56