Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.04 / $3,776.00 / $9,870.00	Facility		$136.04	$3,776.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.38 / $119.26 / $166.65	Professional		$96.38	$119.26	$166.65
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 $89.92 / $124.00 / $179.50	Professional		$89.92	$124.00	$179.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.57 / $375.00 / $570.00	Facility		$110.57	$375.00	$570.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.61 / $146.80 / $279.22	Professional		$103.61	$146.80	$279.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.38 / $146.80 / $196.78	Facility		$103.38	$146.80	$196.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $94.69 / $146.80 / $246.64	Professional		$94.69	$146.80	$246.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.42 / $112.42 / $167.16	Professional		$82.42	$112.42	$167.16
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,178.00 / $2,922.00	Facility		$358.00	$1,178.00	$2,922.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.15 / $113.14 / $212.05	Professional		$89.15	$113.14	$212.05