Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.15 / $346.70 / $9,727.00	Facility		$97.15	$346.70	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $133.11 / $229.32	Professional		$77.23	$133.11	$229.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $2,330.58 / $5,316.51	Facility		$650.00	$2,330.58	$5,316.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.18 / $123.20 / $189.90	Professional		$74.18	$123.20	$189.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $401.98 / $516.54	Facility		$375.00	$401.98	$516.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.81 / $176.96 / $284.66	Professional		$105.81	$176.96	$284.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.15 / $178.64 / $277.98	Facility		$97.15	$178.64	$277.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $270.43 / $355.65 / $469.37	Professional		$270.43	$355.65	$469.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $149.65 / $230.16	Professional		$109.73	$149.65	$230.16
United Facility/Professional Facility Modifier Low / Median / High Price $491.27 / $3,070.00 / $6,584.00	Facility		$491.27	$3,070.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.82 / $188.31 / $353.65	Professional		$122.82	$188.31	$353.65