Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.87 / $3,776.00 / $9,727.00	Facility		$186.87	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.69 / $215.34 / $317.36	Professional		$154.69	$215.34	$317.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $808.03 / $1,729.68 / $3,166.46	Facility		$808.03	$1,729.68	$3,166.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.79 / $217.57 / $336.18	Professional		$152.79	$217.57	$336.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.33 / $580.00 / $781.44	Facility		$265.33	$580.00	$781.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.77 / $302.37 / $475.61	Professional		$178.77	$302.37	$475.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.99 / $309.22 / $489.49	Facility		$181.99	$309.22	$489.49
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 $156.35 / $224.09 / $356.64	Professional		$156.35	$224.09	$356.64
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 $197.19 / $271.50 / $569.24	Professional		$197.19	$271.50	$569.24