Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.11 / $4,230.00 / $9,870.00	Facility		$95.11	$4,230.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $95.11 / $125.30	Professional		$78.31	$95.11	$125.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,065.83 / $1,065.83 / $1,065.83	Facility		$1,065.83	$1,065.83	$1,065.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $167.41 / $248.88	Professional		$73.16	$167.41	$248.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.89 / $122.79 / $202.52	Professional		$96.89	$122.79	$202.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $88.01 / $143.08 / $221.00	Facility		$88.01	$143.08	$221.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $81.43 / $126.52	Professional		$64.69	$81.43	$126.52
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,107.00 / $8,818.00	Facility		$659.00	$6,107.00	$8,818.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $108.21 / $207.78	Professional		$78.41	$108.21	$207.78