Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.00 / $4,230.00 / $9,870.00	Facility		$131.00	$4,230.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.94 / $131.00 / $174.30	Professional		$108.94	$131.00	$174.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $936.59 / $1,743.31 / $2,903.55	Facility		$936.59	$1,743.31	$2,903.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.94 / $144.82 / $250.80	Professional		$104.94	$144.82	$250.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.01 / $473.01 / $607.82	Facility		$473.01	$473.01	$607.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $148.07 / $285.74	Professional		$115.43	$148.07	$285.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.94 / $150.00 / $253.94	Facility		$108.94	$150.00	$253.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $348.02 / $418.49 / $518.09	Professional		$348.02	$418.49	$518.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.69 / $150.56 / $242.96	Professional		$110.69	$150.56	$242.96
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.50 / $148.80 / $297.27	Professional		$104.50	$148.80	$297.27