Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.05 / $440.80 / $9,062.00	Facility		$105.05	$440.80	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $201.62 / $260.27	Professional		$86.99	$201.62	$260.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $589.00 / $1,975.39 / $3,635.04	Facility		$589.00	$1,975.39	$3,635.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.48 / $187.40 / $264.86	Professional		$86.48	$187.40	$264.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $440.00 / $834.39	Facility		$375.00	$440.00	$834.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.35 / $201.59 / $401.72	Professional		$103.35	$201.59	$401.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $105.05 / $218.09 / $345.87	Facility		$105.05	$218.09	$345.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $167.62 / $398.00 / $712.55	Professional		$167.62	$398.00	$712.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.14 / $185.53 / $282.32	Professional		$137.14	$185.53	$282.32
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 $160.69 / $227.20 / $443.25	Professional		$160.69	$227.20	$443.25