Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.87 / $4,375.00 / $9,870.00	Facility		$149.87	$4,375.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.60 / $131.66 / $181.09	Professional		$118.60	$131.66	$181.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.12 / $229.00 / $306.50	Professional		$120.12	$229.00	$306.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $188.22 / $332.03	Professional		$147.56	$188.22	$332.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $137.66 / $180.99 / $310.73	Facility		$137.66	$180.99	$310.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $472.62 / $472.62 / $472.62	Professional		$472.62	$472.62	$472.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.97 / $145.24 / $215.94	Professional		$107.97	$145.24	$215.94
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,221.00 / $3,585.00	Facility		$358.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.61 / $171.79 / $328.50	Professional		$131.61	$171.79	$328.50