Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.87 / $3,776.00 / $9,870.00	Facility		$210.87	$3,776.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.42 / $210.87 / $357.85	Professional		$168.42	$210.87	$357.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $589.00 / $6,786.72 / $12,239.94	Facility		$589.00	$6,786.72	$12,239.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $176.33 / $283.08	Professional		$161.00	$176.33	$283.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $655.00 / $1,842.86	Facility		$375.00	$655.00	$1,842.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $233.63 / $460.94	Professional		$163.80	$233.63	$460.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $178.00 / $199.22 / $348.88	Facility		$178.00	$199.22	$348.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $398.00 / $1,573.76	Professional		$165.00	$398.00	$1,573.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.05 / $187.24 / $292.86	Professional		$140.05	$187.24	$292.86
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 $148.40 / $194.78 / $369.46	Professional		$148.40	$194.78	$369.46