Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.62 / $3,776.00 / $9,727.00	Facility		$180.62	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.15 / $180.62 / $273.63	Professional		$128.15	$180.62	$273.63
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 $133.60 / $163.19 / $289.11	Professional		$133.60	$163.19	$289.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.06 / $239.06 / $239.06	Facility		$239.06	$239.06	$239.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.09 / $226.80 / $404.61	Professional		$152.09	$226.80	$404.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.54 / $221.49 / $377.78	Facility		$138.54	$221.49	$377.78
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $203.30 / $344.55 / $600.00	Facility	50	$203.30	$344.55	$600.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.41 / $213.41 / $213.41	Professional		$213.41	$213.41	$213.41
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $320.12 / $320.12 / $320.12	Professional	50	$320.12	$320.12	$320.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.22 / $206.20 / $273.90	Professional		$153.22	$206.20	$273.90
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.24 / $219.06 / $355.85	Professional		$171.24	$219.06	$355.85