Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.18 / $7,799.00 / $13,335.00	Facility		$202.18	$7,799.00	$13,335.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.82 / $349.42 / $625.09	Professional		$180.82	$349.42	$625.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,583.51 / $4,795.22 / $7,943.74	Facility		$2,583.51	$4,795.22	$7,943.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.28 / $313.22 / $548.32	Professional		$170.28	$313.22	$548.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.52 / $260.52 / $334.77	Facility		$260.52	$260.52	$334.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.85 / $375.18 / $675.23	Professional		$208.85	$375.18	$675.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $202.18 / $411.47 / $572.76	Facility		$202.18	$411.47	$572.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $211.48 / $230.49 / $365.03	Professional		$211.48	$230.49	$365.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $277.96 / $375.66 / $581.62	Professional		$277.96	$375.66	$581.62
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 $309.27 / $459.18 / $813.38	Professional		$309.27	$459.18	$813.38