Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.95 / $2,187.50 / $7,799.00	Facility		$249.95	$2,187.50	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.94 / $202.86 / $424.64	Professional		$110.94	$202.86	$424.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,726.63 / $5,521.00 / $9,424.84	Facility		$2,726.63	$5,521.00	$9,424.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.34 / $154.58 / $248.88	Professional		$105.34	$154.58	$248.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.43 / $189.33 / $560.00	Facility		$162.43	$189.33	$560.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.21 / $207.11 / $407.17	Professional		$120.21	$207.11	$407.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.11 / $199.93 / $349.93	Facility		$123.11	$199.93	$349.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $133.46 / $161.68 / $497.00	Professional		$133.46	$161.68	$497.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.24 / $203.25 / $314.44	Professional		$151.24	$203.25	$314.44
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 $157.01 / $206.76 / $392.32	Professional		$157.01	$206.76	$392.32