Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.53 / $3,776.00 / $9,727.00	Facility		$118.53	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.26 / $134.88 / $251.43	Professional		$91.26	$134.88	$251.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $657.37 / $1,352.71 / $2,297.16	Facility		$657.37	$1,352.71	$2,297.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.28 / $135.88 / $273.17	Professional		$92.28	$135.88	$273.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.98 / $200.98 / $200.98	Facility		$200.98	$200.98	$200.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.55 / $182.97 / $309.60	Professional		$102.55	$182.97	$309.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.99 / $192.85 / $314.67	Facility		$102.99	$192.85	$314.67
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $202.05 / $345.96 / $627.00	Facility	50	$202.05	$345.96	$627.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.89 / $213.89 / $213.89	Professional		$213.89	$213.89	$213.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.42 / $171.42 / $219.89	Professional		$131.42	$171.42	$219.89
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,921.00 / $8,969.00	Facility		$461.00	$3,921.00	$8,969.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.25 / $169.04 / $256.06	Professional		$93.25	$169.04	$256.06