Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.25 / $3,776.00 / $9,727.00	Facility		$186.25	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.83 / $281.52 / $403.44	Professional		$154.83	$281.52	$403.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $808.03 / $1,658.29 / $2,887.55	Facility		$808.03	$1,658.29	$2,887.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.32 / $211.20 / $380.59	Professional		$156.32	$211.20	$380.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.44 / $375.00 / $781.44	Facility		$271.44	$375.00	$781.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.75 / $321.32 / $618.44	Professional		$182.75	$321.32	$618.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $186.25 / $371.08 / $613.71	Facility		$186.25	$371.08	$613.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $671.62 / $671.62 / $671.62	Professional		$671.62	$671.62	$671.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $267.76 / $451.62	Professional		$34.26	$267.76	$451.62
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $3,866.00 / $6,584.00	Facility		$490.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $284.56 / $365.08 / $829.14	Professional		$284.56	$365.08	$829.14