Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.09 / $4,230.00 / $9,870.00	Facility		$202.09	$4,230.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.79 / $202.09 / $276.45	Professional		$172.79	$202.09	$276.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $789.38 / $1,614.62 / $2,623.70	Facility		$789.38	$1,614.62	$2,623.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.35 / $199.52 / $339.35	Professional		$163.35	$199.52	$339.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.50 / $372.00 / $6,689.00	Facility		$207.50	$372.00	$6,689.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.06 / $241.24 / $314.95	Professional		$182.06	$241.24	$314.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $171.78 / $223.52 / $392.72	Facility		$171.78	$223.52	$392.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $183.58 / $230.09 / $306.42	Professional		$183.58	$230.09	$306.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.90 / $189.80 / $306.04	Professional		$140.90	$189.80	$306.04
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.25 / $268.54 / $466.30	Professional		$168.25	$268.54	$466.30