Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.44 / $632.03 / $9,727.00	Facility		$218.44	$632.03	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.53 / $218.44 / $632.03	Professional		$169.53	$218.44	$632.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $589.00 / $3,055.65 / $6,163.57	Facility		$589.00	$3,055.65	$6,163.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.14 / $225.18 / $492.07	Professional		$172.14	$225.18	$492.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $615.00 / $1,139.16	Facility		$375.00	$615.00	$1,139.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.92 / $284.85 / $1,029.59	Professional		$187.92	$284.85	$1,029.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $201.35 / $248.56 / $695.23	Facility		$201.35	$248.56	$695.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.82 / $482.43 / $972.81	Professional		$158.82	$482.43	$972.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $476.51 / $773.30	Professional		$34.27	$476.51	$773.30
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 $154.13 / $212.10 / $520.32	Professional		$154.13	$212.10	$520.32