Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.04 / $3,776.00 / $9,727.00	Facility		$118.04	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.68 / $154.97 / $250.37	Professional		$97.68	$154.97	$250.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.18 / $1,652.14 / $2,853.38	Facility		$758.18	$1,652.14	$2,853.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $199.91 / $327.71	Professional		$96.29	$199.91	$327.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.21 / $580.00 / $607.82	Facility		$168.21	$580.00	$607.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.08 / $194.43 / $316.30	Professional		$128.08	$194.43	$316.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $118.04 / $200.67 / $302.20	Facility		$118.04	$200.67	$302.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $518.09 / $518.09 / $518.09	Professional		$518.09	$518.09	$518.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $187.18 / $290.58	Professional		$137.22	$187.18	$290.58
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 $134.83 / $188.48 / $418.75	Professional		$134.83	$188.48	$418.75