Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.72 / $3,776.00 / $9,870.00	Facility		$125.72	$3,776.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $125.42 / $167.52	Professional		$104.70	$125.42	$167.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $567.00 / $1,906.22 / $3,536.27	Facility		$567.00	$1,906.22	$3,536.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.67 / $179.00 / $279.76	Professional		$97.67	$179.00	$279.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $440.00 / $663.59	Facility		$375.00	$440.00	$663.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.78 / $154.46 / $272.13	Professional		$115.78	$154.46	$272.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.93 / $166.00 / $239.44	Facility		$113.93	$166.00	$239.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $394.00 / $570.11	Professional		$140.00	$394.00	$570.11
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 $93.76 / $127.56 / $261.47	Professional		$93.76	$127.56	$261.47