Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.75 / $553.30 / $9,727.00	Facility		$145.75	$553.30	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.88 / $200.89 / $324.41	Professional		$116.88	$200.89	$324.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,910.79 / $4,324.38 / $8,116.91	Facility		$1,910.79	$4,324.38	$8,116.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.62 / $159.69 / $257.80	Professional		$112.62	$159.69	$257.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $2,048.92 / $2,632.90	Facility		$505.00	$2,048.92	$2,632.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.86 / $230.41 / $422.70	Professional		$132.86	$230.41	$422.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $145.75 / $252.41 / $381.13	Facility		$145.75	$252.41	$381.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $831.70 / $1,812.80 / $2,093.60	Professional		$831.70	$1,812.80	$2,093.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.63 / $224.56 / $348.93	Professional		$164.63	$224.56	$348.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,249.00 / $9,900.00	Facility		$1,689.00	$5,249.00	$9,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.83 / $278.83 / $508.00	Professional		$196.83	$278.83	$508.00