Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.97 / $3,776.00 / $9,727.00	Facility		$154.97	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.28 / $163.96 / $211.00	Professional		$130.28	$163.96	$211.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $504.15 / $1,057.05 / $1,768.21	Facility		$504.15	$1,057.05	$1,768.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $241.67 / $357.13	Professional		$128.16	$241.67	$357.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $149.15 / $224.88	Facility		$100.00	$149.15	$224.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.37 / $227.27 / $360.56	Professional		$163.37	$227.27	$360.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.97 / $228.62 / $352.03	Facility		$154.97	$228.62	$352.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $148.41 / $148.41	Professional		$148.41	$148.41	$148.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.23 / $224.47 / $358.25	Professional		$168.23	$224.47	$358.25
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 $146.96 / $191.99 / $352.55	Professional		$146.96	$191.99	$352.55