Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.33 / $3,776.00 / $9,727.00	Facility		$144.33	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.42 / $212.61 / $354.99	Professional		$94.42	$212.61	$354.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.66 / $766.22 / $1,268.71	Facility		$411.66	$766.22	$1,268.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $128.33 / $312.10	Professional		$94.00	$128.33	$312.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.77 / $261.77 / $261.77	Facility		$261.77	$261.77	$261.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.98 / $269.06 / $487.26	Professional		$118.98	$269.06	$487.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.36 / $260.93 / $427.00	Facility		$108.36	$260.93	$427.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.41 / $213.41 / $213.41	Professional		$213.41	$213.41	$213.41
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $320.12 / $320.12 / $320.12	Professional	50	$320.12	$320.12	$320.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $216.00 / $304.43	Professional		$31.82	$216.00	$304.43
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 $111.54 / $262.82 / $390.30	Professional		$111.54	$262.82	$390.30