Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.77 / $542.91 / $9,727.00	Facility		$142.77	$542.91	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.68 / $207.29 / $356.74	Professional		$126.68	$207.29	$356.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.00 / $3,979.17 / $6,798.35	Facility		$1,737.00	$3,979.17	$6,798.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.43 / $155.28 / $256.05	Professional		$118.43	$155.28	$256.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.97 / $197.97 / $254.39	Facility		$197.97	$197.97	$254.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.02 / $227.36 / $404.93	Professional		$134.02	$227.36	$404.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $133.68 / $230.53 / $372.86	Facility		$133.68	$230.53	$372.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $175.15 / $190.60 / $269.54	Professional		$175.15	$190.60	$269.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.13 / $206.55 / $320.88	Professional		$151.13	$206.55	$320.88
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,607.00 / $8,667.00	Facility		$659.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.36 / $278.20 / $558.41	Professional		$189.36	$278.20	$558.41