Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.00 / $3,776.00 / $9,727.00	Facility		$208.00	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.95 / $208.00 / $323.55	Professional		$172.95	$208.00	$323.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $808.03 / $1,729.68 / $3,166.46	Facility		$808.03	$1,729.68	$3,166.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.23 / $207.06 / $361.08	Professional		$174.23	$207.06	$361.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.72 / $375.00 / $781.44	Facility		$302.72	$375.00	$781.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.84 / $275.11 / $464.66	Professional		$188.84	$275.11	$464.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.08 / $293.33 / $450.68	Facility		$199.08	$293.33	$450.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $671.62 / $671.62 / $671.62	Professional		$671.62	$671.62	$671.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.55 / $204.20 / $317.71	Professional		$154.55	$204.20	$317.71
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $3,682.00 / $7,558.00	Facility		$490.00	$3,682.00	$7,558.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.07 / $244.66 / $500.11	Professional		$172.07	$244.66	$500.11