Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.18 / $3,776.00 / $9,870.00	Facility		$237.18	$3,776.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.72 / $207.67 / $293.02	Professional		$166.72	$207.67	$293.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $463.33 / $862.64 / $1,377.06	Facility		$463.33	$862.64	$1,377.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.50 / $215.97 / $330.98	Professional		$156.50	$215.97	$330.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $375.00 / $560.00	Facility		$193.75	$375.00	$560.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.12 / $196.49 / $486.80	Professional		$128.12	$196.49	$486.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $146.00 / $190.77 / $376.70	Facility		$146.00	$190.77	$376.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $172.89 / $187.00 / $411.77	Professional		$172.89	$187.00	$411.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.39 / $187.65 / $276.06	Professional		$137.39	$187.65	$276.06
United Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $1,138.00 / $2,357.00	Facility		$384.00	$1,138.00	$2,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.94 / $172.50 / $297.70	Professional		$116.94	$172.50	$297.70