Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.35 / $501.73 / $9,727.00	Facility		$180.35	$501.73	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.99 / $193.15 / $309.04	Professional		$135.99	$193.15	$309.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,863.89 / $4,554.70 / $7,996.46	Facility		$1,863.89	$4,554.70	$7,996.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.54 / $182.63 / $323.14	Professional		$131.54	$182.63	$323.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $1,221.33 / $1,569.43	Facility		$505.00	$1,221.33	$1,569.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.40 / $239.49 / $415.86	Professional		$156.40	$239.49	$415.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.25 / $258.12 / $377.71	Facility		$177.25	$258.12	$377.71
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 $137.22 / $187.73 / $293.23	Professional		$137.22	$187.73	$293.23
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 $182.67 / $267.36 / $520.67	Professional		$182.67	$267.36	$520.67