Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.01 / $128.01 / $128.01	Facility		$128.01	$128.01	$128.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.70 / $128.05 / $147.50	Professional		$111.70	$128.05	$147.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $975.11 / $1,870.03 / $3,716.03	Facility		$975.11	$1,870.03	$3,716.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.79 / $527.00 / $821.95	Professional		$147.79	$527.00	$821.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.73 / $7,814.37 / $15,826.73	Facility		$475.73	$7,814.37	$15,826.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.10 / $252.56 / $653.00	Professional		$162.10	$252.56	$653.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.50 / $420.00 / $836.00	Facility		$147.50	$420.00	$836.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $166.95 / $166.95 / $576.40	Professional		$166.95	$166.95	$576.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $127.90 / $208.91	Professional		$44.14	$127.90	$208.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,861.66 / $2,861.66 / $3,455.61	Facility		$2,861.66	$2,861.66	$3,455.61
United Facility/Professional Professional Modifier Low / Median / High Price $170.71 / $227.20 / $574.53	Professional		$170.71	$227.20	$574.53