Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.96 / $4,230.00 / $9,870.00	Facility		$159.96	$4,230.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.68 / $159.96 / $194.69	Professional		$121.68	$159.96	$194.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $503.90 / $934.36 / $1,810.69	Facility		$503.90	$934.36	$1,810.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.43 / $226.00 / $380.69	Professional		$116.43	$226.00	$380.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $901.20 / $1,158.06	Facility		$375.00	$901.20	$1,158.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.21 / $182.25 / $317.91	Professional		$142.21	$182.25	$317.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.68 / $181.23 / $317.00	Facility		$121.68	$181.23	$317.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $212.54 / $797.34 / $958.76	Professional		$212.54	$797.34	$958.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $114.11 / $180.96	Professional		$82.40	$114.11	$180.96
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.66 / $178.89 / $306.81	Professional		$123.66	$178.89	$306.81