Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.83 / $3,776.00 / $9,870.00	Facility		$120.83	$3,776.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.84 / $120.83 / $161.34	Professional		$100.84	$120.83	$161.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $589.00 / $5,026.53 / $8,972.87	Facility		$589.00	$5,026.53	$8,972.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.04 / $180.63 / $277.94	Professional		$96.04	$180.63	$277.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $440.00 / $1,842.86	Facility		$375.00	$440.00	$1,842.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.74 / $142.22 / $288.14	Professional		$86.74	$142.22	$288.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $92.03 / $130.28 / $229.55	Facility		$92.03	$130.28	$229.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $394.00 / $1,573.76	Professional		$96.00	$394.00	$1,573.76
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 $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 $85.89 / $110.03 / $247.37	Professional		$85.89	$110.03	$247.37