Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.76 / $6,037.51 / $9,062.00	Facility		$182.76	$6,037.51	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.87 / $155.52 / $286.56	Professional		$103.87	$155.52	$286.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,523.99 / $4,454.43 / $7,943.74	Facility		$1,523.99	$4,454.43	$7,943.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.07 / $147.75 / $202.81	Professional		$106.07	$147.75	$202.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.22 / $143.22 / $184.05	Facility		$143.22	$143.22	$184.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.33 / $158.59 / $319.16	Professional		$108.33	$158.59	$319.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.00 / $158.00 / $268.94	Facility		$109.00	$158.00	$268.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $126.73 / $194.78	Professional		$71.23	$126.73	$194.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $149.65 / $230.16	Professional		$109.73	$149.65	$230.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,764.00 / $10,147.00 / $16,816.00	Facility		$2,764.00	$10,147.00	$16,816.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.70 / $168.08 / $333.83	Professional		$113.70	$168.08	$333.83