Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.69 / $3,776.00 / $9,727.00	Facility		$90.69	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.72 / $90.69 / $109.05	Professional		$69.72	$90.69	$109.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.66 / $793.85 / $1,276.18	Facility		$411.66	$793.85	$1,276.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $93.61 / $144.22	Professional		$65.98	$93.61	$144.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.17 / $67.17 / $67.17	Facility		$67.17	$67.17	$67.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.11 / $104.64 / $204.97	Professional		$67.11	$104.64	$204.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $95.67 / $172.36	Facility		$66.00	$95.67	$172.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Professional		$68.73	$68.73	$68.73
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 $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $85.96 / $224.18	Professional		$69.09	$85.96	$224.18