Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.55 / $4,230.00 / $9,870.00	Facility		$102.55	$4,230.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.86 / $294.77 / $404.89	Professional		$82.86	$294.77	$404.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $706.82 / $1,383.07	Facility		$411.00	$706.82	$1,383.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $159.60 / $399.59	Professional		$84.00	$159.60	$399.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.82 / $172.29 / $570.00	Facility		$147.82	$172.29	$570.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.60 / $264.94 / $639.21	Professional		$103.60	$264.94	$639.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.95 / $391.37 / $587.04	Facility		$95.95	$391.37	$587.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $126.74 / $296.33 / $851.54	Professional		$126.74	$296.33	$851.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $246.79 / $332.57 / $506.54	Professional		$246.79	$332.57	$506.54
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,138.00 / $3,585.00	Facility		$100.00	$1,138.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.87 / $347.90 / $670.51	Professional		$116.87	$347.90	$670.51