Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.53 / $5,621.00 / $9,870.00	Facility		$142.53	$5,621.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.30 / $142.53 / $205.28	Professional		$128.30	$142.53	$205.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,768.56 / $4,471.00 / $7,943.74	Facility		$1,768.56	$4,471.00	$7,943.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $120.94 / $166.01	Professional		$62.00	$120.94	$166.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $2,130.29 / $2,737.46	Facility		$505.00	$2,130.29	$2,737.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.32 / $180.81 / $310.39	Professional		$145.32	$180.81	$310.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $126.28 / $176.24 / $290.54	Facility		$126.28	$176.24	$290.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $894.76 / $1,884.79 / $2,096.12	Professional		$894.76	$1,884.79	$2,096.12
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 $791.00 / $10,257.00 / $16,249.00	Facility		$791.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.50 / $176.49 / $318.89	Professional		$126.50	$176.49	$318.89