Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.84 / $4,230.00 / $9,870.00	Facility		$123.84	$4,230.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.69 / $123.84 / $165.90	Professional		$103.69	$123.84	$165.90
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 $99.76 / $128.61 / $225.90	Professional		$99.76	$128.61	$225.90
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 $115.10 / $148.35 / $270.14	Professional		$115.10	$148.35	$270.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.00 / $149.35 / $240.97	Facility		$104.00	$149.35	$240.97
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 $81.92 / $112.30 / $180.58	Professional		$81.92	$112.30	$180.58
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 $94.79 / $143.37 / $281.85	Professional		$94.79	$143.37	$281.85