Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.42 / $4,230.00 / $9,870.00	Facility		$180.42	$4,230.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.16 / $180.42 / $230.66	Professional		$144.16	$180.42	$230.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,794.34 / $4,588.63 / $8,041.18	Facility		$1,794.34	$4,588.63	$8,041.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.29 / $198.00 / $348.14	Professional		$138.29	$198.00	$348.14
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 $169.64 / $210.36 / $388.45	Professional		$169.64	$210.36	$388.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.16 / $200.52 / $359.84	Facility		$144.16	$200.52	$359.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $947.40 / $1,080.58 / $1,286.61	Professional		$947.40	$1,080.58	$1,286.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.81 / $150.60 / $237.54	Professional		$109.81	$150.60	$237.54
United Facility/Professional Facility Modifier Low / Median / High Price $791.00 / $10,257.00 / $16,249.00	Facility		$791.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.69 / $200.71 / $392.43	Professional		$143.69	$200.71	$392.43