Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.00 / $3,776.00 / $9,727.00	Facility		$164.00	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $181.84 / $276.20	Professional		$121.34	$181.84	$276.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,014.75 / $1,975.15 / $3,144.43	Facility		$1,014.75	$1,975.15	$3,144.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.80 / $156.00 / $336.95	Professional		$126.80	$156.00	$336.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.52 / $238.52 / $238.52	Facility		$238.52	$238.52	$238.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.93 / $225.14 / $374.89	Professional		$139.93	$225.14	$374.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $135.49 / $250.64 / $387.78	Facility		$135.49	$250.64	$387.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $248.27 / $248.27 / $248.27	Professional		$248.27	$248.27	$248.27
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $372.41 / $372.41 / $372.41	Professional	50	$372.41	$372.41	$372.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.22 / $206.20 / $273.90	Professional		$153.22	$206.20	$273.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $4,877.00 / $9,900.00	Facility		$1,471.00	$4,877.00	$9,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.88 / $226.14 / $375.48	Professional		$174.88	$226.14	$375.48