Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.68 / $4,230.00 / $9,870.00	Facility		$138.68	$4,230.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.68 / $183.71	Professional		$114.82	$138.68	$183.71
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 $107.19 / $209.00 / $367.48	Professional		$107.19	$209.00	$367.48
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 $153.75 / $178.63 / $302.50	Professional		$153.75	$178.63	$302.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.87 / $204.96 / $276.58	Facility		$124.87	$204.96	$276.58
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 $119.38 / $168.76 / $307.55	Professional		$119.38	$168.76	$307.55