Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.34 / $604.07 / $13,335.00	Facility		$190.34	$604.07	$13,335.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $220.95 / $273.38	Professional		$156.72	$220.95	$273.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $796.00 / $3,763.91 / $6,751.95	Facility		$796.00	$3,763.91	$6,751.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.90 / $200.07 / $281.85	Professional		$153.90	$200.07	$281.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $655.00 / $3,845.77	Facility		$375.00	$655.00	$3,845.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $246.55 / $464.73	Professional		$164.59	$246.55	$464.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $176.55 / $242.55 / $399.10	Facility		$176.55	$242.55	$399.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $195.06 / $565.04 / $3,284.20	Professional		$195.06	$565.04	$3,284.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.50 / $240.57 / $371.86	Professional		$180.50	$240.57	$371.86
United Facility/Professional Facility Modifier Low / Median / High Price $586.00 / $6,172.00 / $8,667.00	Facility		$586.00	$6,172.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.46 / $234.94 / $455.71	Professional		$164.46	$234.94	$455.71