Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.35 / $4,375.00 / $9,062.00	Facility		$217.35	$4,375.00	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.63 / $279.86 / $761.90	Professional		$180.63	$279.86	$761.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,371.90 / $4,190.50 / $6,811.41	Facility		$2,371.90	$4,190.50	$6,811.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.62 / $244.48 / $356.47	Professional		$168.62	$244.48	$356.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.95 / $232.95 / $299.33	Facility		$232.95	$232.95	$299.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.68 / $314.75 / $562.94	Professional		$201.68	$314.75	$562.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $198.24 / $293.42 / $522.69	Facility		$198.24	$293.42	$522.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $206.10 / $231.24 / $324.10	Professional		$206.10	$231.24	$324.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $238.37 / $400.92	Professional		$31.92	$238.37	$400.92
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,607.00 / $8,667.00	Facility		$659.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.92 / $385.39 / $677.07	Professional		$271.92	$385.39	$677.07