Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.76 / $3,776.00 / $9,870.00	Facility		$158.76	$3,776.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.38 / $158.76 / $210.22	Professional		$131.38	$158.76	$210.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $1,351.53 / $3,246.97	Facility		$520.00	$1,351.53	$3,246.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.41 / $448.00 / $648.00	Professional		$124.41	$448.00	$648.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $440.00 / $1,139.16	Facility		$375.00	$440.00	$1,139.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.43 / $243.70 / $396.00	Professional		$155.43	$243.70	$396.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.02 / $282.27 / $456.80	Facility		$154.02	$282.27	$456.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $200.59 / $383.51 / $972.81	Professional		$200.59	$383.51	$972.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $113.57 / $178.53	Professional		$82.40	$113.57	$178.53
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 $119.64 / $186.55 / $394.23	Professional		$119.64	$186.55	$394.23