Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $4,897.79 / $16,595.87	Facility		$199.53	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $302.00	Professional		$123.03	$169.82	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,467.37 / $6,309.57	Facility		$1,412.54	$3,467.37	$6,309.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $257.04	Professional		$123.03	$173.78	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $371.54 / $1,380.38	Facility		$223.87	$371.54	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $346.74	Professional		$151.36	$208.93	$346.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $416.87	Professional		$263.03	$263.03	$416.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $204.17 / $346.74	Facility		$138.04	$204.17	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $6,760.83 / $10,000.00	Facility		$1,479.11	$6,760.83	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $275.42	Professional		$117.49	$165.96	$275.42