Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.57 / $829.02 / $17,247.00	Facility		$256.57	$829.02	$17,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.41 / $352.32 / $464.64	Professional		$209.41	$352.32	$464.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,339.00 / $5,345.72 / $9,813.90	Facility		$1,339.00	$5,345.72	$9,813.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.00 / $286.23 / $428.73	Professional		$211.00	$286.23	$428.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $615.00 / $1,838.22	Facility		$375.00	$615.00	$1,838.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.49 / $345.80 / $721.90	Professional		$225.49	$345.80	$721.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $220.60 / $347.36 / $584.95	Facility		$220.60	$347.36	$584.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $183.75 / $1,178.00 / $2,016.98	Professional		$183.75	$1,178.00	$2,016.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $311.75 / $517.34	Professional		$31.82	$311.75	$517.34
United Facility/Professional Facility Modifier Low / Median / High Price $710.00 / $10,069.00 / $16,249.00	Facility		$710.00	$10,069.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.49 / $360.00 / $709.41	Professional		$272.49	$360.00	$709.41