Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.72 / $4,230.00 / $9,870.00	Facility		$95.72	$4,230.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $95.72 / $115.70	Professional		$72.31	$95.72	$115.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,367.57 / $3,179.52 / $5,817.14	Facility		$1,367.57	$3,179.52	$5,817.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $93.00 / $163.52	Professional		$69.34	$93.00	$163.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,529.27 / $1,965.14	Facility		$375.00	$1,529.27	$1,965.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $106.14 / $197.09	Professional		$83.29	$106.14	$197.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.31 / $102.26 / $218.00	Facility		$72.31	$102.26	$218.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $688.06 / $1,353.04 / $1,606.69	Professional		$688.06	$1,353.04	$1,606.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $75.30 / $118.77	Professional		$54.90	$75.30	$118.77
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,607.00 / $8,667.00	Facility		$659.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.05 / $100.96 / $194.22	Professional		$71.05	$100.96	$194.22