Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.32 / $356.36 / $9,062.00	Facility		$168.32	$356.36	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.35 / $190.61 / $304.98	Professional		$127.35	$190.61	$304.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,876.21 / $4,678.74 / $8,279.37	Facility		$1,876.21	$4,678.74	$8,279.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.25 / $179.36 / $292.31	Professional		$123.25	$179.36	$292.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,248.31 / $1,604.11	Facility		$375.00	$1,248.31	$1,604.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.58 / $232.99 / $389.67	Professional		$143.58	$232.99	$389.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.01 / $246.00 / $342.40	Facility		$165.01	$246.00	$342.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $872.15 / $1,104.45 / $1,397.41	Professional		$872.15	$1,104.45	$1,397.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.29 / $205.33 / $319.00	Professional		$153.29	$205.33	$319.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $6,679.00 / $9,951.00	Facility		$1,471.00	$6,679.00	$9,951.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.42 / $258.58 / $463.25	Professional		$174.42	$258.58	$463.25