Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.62 / $402.89 / $9,727.00	Facility		$141.62	$402.89	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.26 / $158.96 / $254.34	Professional		$107.26	$158.96	$254.34
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 $103.97 / $142.18 / $218.56	Professional		$103.97	$142.18	$218.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,106.17 / $2,106.17 / $2,706.47	Facility		$2,106.17	$2,106.17	$2,706.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.08 / $196.38 / $324.98	Professional		$121.08	$196.38	$324.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $201.02 / $307.98	Facility		$125.00	$201.02	$307.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $947.40 / $1,863.46 / $2,252.57	Professional		$947.40	$1,863.46	$2,252.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.20 / $169.03 / $260.31	Professional		$122.20	$169.03	$260.31
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 $147.33 / $212.20 / $396.44	Professional		$147.33	$212.20	$396.44