Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $4,365.16 / $9,772.37	Facility		$302.00	$4,365.16	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $302.00	Professional		$83.18	$141.25	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,122.02 / $2,290.87	Facility		$537.03	$1,122.02	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $295.12	Professional		$81.28	$112.20	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $426.58 / $1,023.29	Facility		$147.91	$426.58	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $162.18 / $446.68	Professional		$93.33	$162.18	$446.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $165.96	Professional		$151.36	$151.36	$165.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $154.88 / $354.81	Facility		$89.13	$154.88	$354.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $6,165.95 / $10,000.00	Facility		$616.60	$6,165.95	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $234.42	Professional		$79.43	$125.89	$234.42