Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $223.87	Professional		$100.00	$128.82	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $512.86 / $1,096.48	Facility		$257.04	$512.86	$1,096.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $416.87	Professional		$123.03	$165.96	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $1,071.52 / $2,041.74	Facility		$97.72	$1,071.52	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $537.03	Professional		$165.96	$213.80	$537.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $245.47 / $467.74	Facility		$123.03	$245.47	$467.74
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 $380.19 / $1,698.24 / $2,570.40	Facility		$380.19	$1,698.24	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $389.05	Professional		$120.23	$169.82	$389.05