Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.64 / $3,776.00 / $9,727.00	Facility		$120.64	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.83 / $120.64 / $165.67	Professional		$91.83	$120.64	$165.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $341.69 / $656.64 / $1,006.88	Facility		$341.69	$656.64	$1,006.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.29 / $126.00 / $197.97	Professional		$102.29	$126.00	$197.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.61 / $178.35 / $580.00	Facility		$139.61	$178.35	$580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.09 / $135.80 / $272.08	Professional		$97.09	$135.80	$272.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.39 / $150.00 / $250.52	Facility		$103.39	$150.00	$250.52
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $182.49 / $225.00 / $375.79	Facility	50	$182.49	$225.00	$375.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $139.13 / $139.13	Professional		$139.13	$139.13	$139.13
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $208.71 / $208.71 / $208.71	Professional	50	$208.71	$208.71	$208.71
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 $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.98 / $130.06 / $297.69	Professional		$97.98	$130.06	$297.69