Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.89 / $1,827.00 / $9,727.00	Facility		$89.89	$1,827.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $122.70 / $185.68	Professional		$62.93	$122.70	$185.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.18 / $1,652.14 / $2,859.97	Facility		$758.18	$1,652.14	$2,859.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.52 / $126.49 / $218.97	Professional		$73.52	$126.49	$218.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $375.00 / $781.44	Facility		$128.72	$375.00	$781.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.15 / $147.36 / $255.30	Professional		$83.15	$147.36	$255.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.53 / $165.10 / $265.06	Facility		$85.53	$165.10	$265.06
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 $112.43 / $145.90 / $327.58	Professional		$112.43	$145.90	$327.58