Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.99 / $3,776.00 / $9,727.00	Facility		$206.99	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.88 / $250.19 / $411.69	Professional		$159.88	$250.19	$411.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,598.83 / $4,772.12 / $7,818.97	Facility		$2,598.83	$4,772.12	$7,818.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.85 / $206.86 / $418.81	Professional		$159.85	$206.86	$418.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.19 / $379.19 / $379.19	Facility		$379.19	$379.19	$379.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.45 / $316.80 / $570.76	Professional		$178.45	$316.80	$570.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $174.33 / $356.75 / $564.95	Facility		$174.33	$356.75	$564.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $403.24 / $403.24 / $403.24	Professional		$403.24	$403.24	$403.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $256.59 / $355.09	Professional		$30.34	$256.59	$355.09
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.11 / $337.44 / $546.99	Professional		$264.11	$337.44	$546.99