Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.99 / $3,776.00 / $9,727.00	Facility		$162.99	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.63 / $222.28 / $367.69	Professional		$124.63	$222.28	$367.69
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 $126.51 / $166.80 / $382.66	Professional		$126.51	$166.80	$382.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.10 / $359.10 / $359.10	Facility		$359.10	$359.10	$359.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.40 / $282.55 / $509.75	Professional		$140.40	$282.55	$509.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.91 / $315.83 / $504.78	Facility		$138.91	$315.83	$504.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $382.50 / $382.50 / $382.50	Professional		$382.50	$382.50	$382.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $235.90 / $340.40	Professional		$31.82	$235.90	$340.40
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $5,249.00 / $8,667.00	Facility		$659.00	$5,249.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.56 / $288.52 / $480.59	Professional		$234.56	$288.52	$480.59