Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $275.42	Professional		$125.89	$151.36	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,677.35 / $10,964.78	Facility		$1,737.80	$4,677.35	$10,964.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $316.23 / $794.33	Professional		$147.91	$316.23	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $758.58 / $15,848.93	Facility		$97.72	$758.58	$15,848.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $257.04 / $691.83	Professional		$144.54	$257.04	$691.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $251.19 / $758.58	Facility		$134.90	$251.19	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $13,182.57 / $20,417.38	Facility		$2,884.03	$13,182.57	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $251.19 / $575.44	Professional		$154.88	$251.19	$575.44