Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.04 / $1,158.75 / $9,062.00	Facility		$75.04	$1,158.75	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $114.75 / $185.55	Professional		$60.25	$114.75	$185.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $504.15 / $983.24 / $1,768.21	Facility		$504.15	$983.24	$1,768.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.29 / $126.25 / $199.74	Professional		$63.29	$126.25	$199.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.60 / $375.00 / $781.44	Facility		$110.60	$375.00	$781.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.51 / $144.49 / $267.70	Professional		$85.51	$144.49	$267.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.04 / $156.63 / $286.73	Facility		$75.04	$156.63	$286.73
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $170.22 / $303.35 / $445.50	Facility	50	$170.22	$303.35	$445.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $671.62 / $671.62 / $671.62	Professional		$671.62	$671.62	$671.62
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $1,007.42 / $1,007.42 / $1,007.42	Professional	50	$1,007.42	$1,007.42	$1,007.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $148.85 / $228.07	Professional		$109.73	$148.85	$228.07
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 $111.57 / $147.69 / $327.55	Professional		$111.57	$147.69	$327.55