Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.73 / $4,230.00 / $9,870.00	Facility		$94.73	$4,230.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.78 / $94.73 / $126.05	Professional		$78.78	$94.73	$126.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $780.00 / $1,652.14 / $2,887.55	Facility		$780.00	$1,652.14	$2,887.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $145.00 / $254.95	Professional		$74.95	$145.00	$254.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.65 / $201.65 / $375.00	Facility		$201.65	$201.65	$375.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.86 / $125.74 / $208.96	Professional		$113.86	$125.74	$208.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.94 / $143.24 / $193.01	Facility		$91.94	$143.24	$193.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $178.40 / $213.15 / $348.02	Professional		$178.40	$213.15	$348.02
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 $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 $83.41 / $124.00 / $217.16	Professional		$83.41	$124.00	$217.16