Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.19 / $3,776.00 / $9,870.00	Facility		$250.19	$3,776.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.83 / $250.19 / $334.13	Professional		$208.83	$250.19	$334.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $528.00 / $1,135.83 / $2,109.44	Facility		$528.00	$1,135.83	$2,109.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $197.13 / $252.99	Professional		$121.00	$197.13	$252.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $440.00 / $645.24	Facility		$375.00	$440.00	$645.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.84 / $270.27 / $530.00	Professional		$177.84	$270.27	$530.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $237.76 / $425.32	Facility		$162.00	$237.76	$425.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $394.00 / $551.01	Professional		$126.00	$394.00	$551.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.20 / $225.73 / $359.27	Professional		$158.20	$225.73	$359.27
United Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $3,682.00 / $6,584.00	Facility		$438.00	$3,682.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $228.45 / $434.60	Professional		$173.03	$228.45	$434.60