Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.88 / $3,776.00 / $9,727.00	Facility		$94.88	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.58 / $135.01 / $202.62	Professional		$79.58	$135.01	$202.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $686.29 / $1,652.14 / $2,887.55	Facility		$686.29	$1,652.14	$2,887.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.62 / $167.73 / $321.35	Professional		$76.62	$167.73	$321.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.82 / $580.00 / $781.44	Facility		$133.82	$580.00	$781.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.42 / $172.61 / $288.79	Professional		$110.42	$172.61	$288.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.88 / $161.49 / $274.52	Facility		$94.88	$161.49	$274.52
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 $109.81 / $150.60 / $235.77	Professional		$109.81	$150.60	$235.77
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 $121.92 / $168.37 / $345.18	Professional		$121.92	$168.37	$345.18