Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.92 / $3,776.00 / $9,727.00	Facility		$65.92	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.21 / $65.92 / $154.13	Professional		$55.21	$65.92	$154.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $521.14 / $994.09 / $2,260.01	Facility		$521.14	$994.09	$2,260.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.92 / $72.00 / $166.50	Professional		$51.92	$72.00	$166.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $473.01 / $607.82	Facility		$375.00	$473.01	$607.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $92.23 / $143.79	Professional		$74.98	$92.23	$143.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.86 / $104.60 / $195.98	Facility		$64.86	$104.60	$195.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $270.43 / $418.49 / $518.09	Professional		$270.43	$418.49	$518.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $75.30 / $118.77	Professional		$54.90	$75.30	$118.77
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 $54.78 / $90.44 / $147.13	Professional		$54.78	$90.44	$147.13