Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.80 / $4,230.00 / $9,870.00	Facility		$93.80	$4,230.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.51 / $93.80 / $119.22	Professional		$74.51	$93.80	$119.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,350.81 / $3,577.06 / $6,284.81	Facility		$1,350.81	$3,577.06	$6,284.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $87.09 / $152.80	Professional		$72.37	$87.09	$152.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,221.33 / $1,569.43	Facility		$375.00	$1,221.33	$1,569.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.47 / $112.29 / $201.48	Professional		$89.47	$112.29	$201.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.15 / $117.25 / $171.91	Facility		$78.15	$117.25	$171.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $739.16 / $1,080.58 / $1,286.61	Professional		$739.16	$1,080.58	$1,286.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $75.30 / $118.77	Professional		$54.90	$75.30	$118.77
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,607.00 / $8,667.00	Facility		$659.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $104.35 / $201.33	Professional		$76.23	$104.35	$201.33