Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.71 / $1,567.40 / $9,062.00	Facility		$162.71	$1,567.40	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.03 / $190.22 / $244.35	Professional		$125.03	$190.22	$244.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,153.02 / $4,069.15 / $6,619.00	Facility		$2,153.02	$4,069.15	$6,619.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.98 / $183.00 / $277.83	Professional		$125.98	$183.00	$277.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $375.00 / $1,985.43	Facility		$375.00	$375.00	$1,985.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.36 / $207.62 / $364.50	Professional		$133.36	$207.62	$364.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.26 / $192.50 / $312.83	Facility		$128.26	$192.50	$312.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $493.00 / $493.00 / $1,675.17	Professional		$493.00	$493.00	$1,675.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.60 / $170.20 / $232.57	Professional		$124.60	$170.20	$232.57
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 $148.59 / $198.13 / $321.97	Professional		$148.59	$198.13	$321.97