Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.84 / $4,673.00 / $9,870.00	Facility		$328.84	$4,673.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.70 / $328.84 / $429.94	Professional		$268.70	$328.84	$429.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $796.00 / $5,567.16 / $11,630.37	Facility		$796.00	$5,567.16	$11,630.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.05 / $396.00 / $696.29	Professional		$258.05	$396.00	$696.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $585.00 / $4,180.34	Facility		$375.00	$585.00	$4,180.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.39 / $420.52 / $708.71	Professional		$293.39	$420.52	$708.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $306.19 / $425.70 / $639.87	Facility		$306.19	$425.70	$639.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $341.25 / $534.00 / $3,569.91	Professional		$341.25	$534.00	$3,569.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.39 / $305.82 / $470.09	Professional		$223.39	$305.82	$470.09
United Facility/Professional Facility Modifier Low / Median / High Price $870.00 / $12,269.00 / $19,591.00	Facility		$870.00	$12,269.00	$19,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $244.18 / $353.77 / $683.33	Professional		$244.18	$353.77	$683.33