Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.14 / $3,776.00 / $9,727.00	Facility		$186.14	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $185.49 / $197.11	Professional		$130.38	$185.49	$197.11
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 $133.00 / $150.84 / $284.61	Professional		$133.00	$150.84	$284.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.74 / $141.74 / $141.74	Facility		$141.74	$141.74	$141.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.77 / $190.15 / $372.60	Professional		$140.77	$190.15	$372.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $146.34 / $204.75 / $356.21	Facility		$146.34	$204.75	$356.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $139.13 / $139.13	Professional		$139.13	$139.13	$139.13
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $208.71 / $208.71 / $208.71	Professional	50	$208.71	$208.71	$208.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $155.02 / $199.13	Professional		$123.75	$155.02	$199.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $10,257.00 / $16,249.00	Facility		$1,258.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.77 / $160.96 / $273.63	Professional		$128.77	$160.96	$273.63