Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.24 / $770.76 / $9,727.00	Facility		$166.24	$770.76	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.93 / $267.62 / $381.54	Professional		$139.93	$267.62	$381.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.36 / $1,658.29 / $3,166.46	Facility		$775.36	$1,658.29	$3,166.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.30 / $239.68 / $382.69	Professional		$138.30	$239.68	$382.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.86 / $375.00 / $781.44	Facility		$239.86	$375.00	$781.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.34 / $316.45 / $576.16	Professional		$163.34	$316.45	$576.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $166.24 / $352.00 / $618.46	Facility		$166.24	$352.00	$618.46
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 / $264.86 / $437.06	Professional		$34.26	$264.86	$437.06
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 $248.47 / $331.27 / $773.00	Professional		$248.47	$331.27	$773.00