Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.76 / $3,776.00 / $9,727.00	Facility		$85.76	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.04 / $84.18 / $102.41	Professional		$61.04	$84.18	$102.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,054.98 / $2,008.43 / $3,144.43	Facility		$1,054.98	$2,008.43	$3,144.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $88.00 / $134.97	Professional		$65.40	$88.00	$134.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.75 / $77.75 / $77.75	Facility		$77.75	$77.75	$77.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $93.96 / $192.12	Professional		$66.30	$93.96	$192.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.63 / $94.34 / $141.53	Facility		$72.63	$94.34	$141.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $76.39 / $76.39	Professional		$76.39	$76.39	$76.39
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $114.58 / $114.58 / $114.58	Professional	50	$114.58	$114.58	$114.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $69.42 / $86.59	Professional		$53.47	$69.42	$86.59
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,607.00 / $8,667.00	Facility		$659.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.56 / $84.09 / $137.44	Professional		$63.56	$84.09	$137.44