Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.88 / $3,776.00 / $9,727.00	Facility		$137.88	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.87 / $137.88 / $219.53	Professional		$89.87	$137.88	$219.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $657.37 / $1,435.15 / $4,476.09	Facility		$657.37	$1,435.15	$4,476.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $123.35 / $206.65	Professional		$92.00	$123.35	$206.65
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 $114.48 / $185.41 / $308.89	Professional		$114.48	$185.41	$308.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $105.95 / $164.84 / $265.02	Facility		$105.95	$164.84	$265.02
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $155.28 / $246.00 / $430.93	Facility	50	$155.28	$246.00	$430.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $493.00 / $493.00 / $1,675.17	Professional		$493.00	$493.00	$1,675.17
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $2,512.76 / $2,512.76 / $2,512.76	Professional	50	$2,512.76	$2,512.76	$2,512.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $152.85 / $200.02	Professional		$120.74	$152.85	$200.02
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 $132.90 / $176.93 / $285.64	Professional		$132.90	$176.93	$285.64