Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.29 / $3,776.00 / $9,870.00	Facility		$171.29	$3,776.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.41 / $154.43 / $178.08	Professional		$122.41	$154.43	$178.08
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 $114.54 / $247.00 / $386.98	Professional		$114.54	$247.00	$386.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.06 / $375.00 / $560.00	Facility		$142.06	$375.00	$560.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.94 / $174.04 / $351.55	Professional		$127.94	$174.04	$351.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.59 / $186.48 / $292.00	Facility		$138.59	$186.48	$292.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $193.68 / $216.00 / $327.45	Professional		$193.68	$216.00	$327.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.19 / $147.51 / $226.50	Professional		$110.19	$147.51	$226.50
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 $108.40 / $139.44 / $248.60	Professional		$108.40	$139.44	$248.60