Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.38 / $5,621.00 / $9,870.00	Facility		$200.38	$5,621.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.28 / $200.38 / $286.77	Professional		$169.28	$200.38	$286.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,113.59 / $2,888.20 / $4,989.60	Facility		$1,113.59	$2,888.20	$4,989.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.03 / $200.11 / $347.39	Professional		$168.03	$200.11	$347.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,529.27 / $1,529.27 / $1,965.14	Facility		$1,529.27	$1,529.27	$1,965.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.96 / $230.28 / $432.53	Professional		$180.96	$230.28	$432.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $170.77 / $225.00 / $370.61	Facility		$170.77	$225.00	$370.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $446.33 / $1,353.04 / $1,606.69	Professional		$446.33	$1,353.04	$1,606.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.59 / $170.91 / $261.63	Professional		$124.59	$170.91	$261.63
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 $162.87 / $236.82 / $425.02	Professional		$162.87	$236.82	$425.02