Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.16 / $4,230.00 / $9,727.00	Facility		$137.16	$4,230.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.28 / $131.19 / $151.38	Professional		$90.28	$131.19	$151.38
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 $97.00 / $115.01 / $224.31	Professional		$97.00	$115.01	$224.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.07 / $111.07 / $111.07	Facility		$111.07	$111.07	$111.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.33 / $142.62 / $278.80	Professional		$103.33	$142.62	$278.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.81 / $151.38 / $295.66	Facility		$109.81	$151.38	$295.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $110.20 / $110.20 / $110.20	Professional		$110.20	$110.20	$110.20
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $165.30 / $165.30 / $165.30	Professional	50	$165.30	$165.30	$165.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $103.50 / $131.85	Professional		$79.45	$103.50	$131.85
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 $98.46 / $123.07 / $249.25	Professional		$98.46	$123.07	$249.25