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 $97.72 / $117.49 / $199.53	Professional		$97.72	$117.49	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,288.25 / $2,137.96	Facility		$676.08	$1,288.25	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $309.03	Professional		$117.49	$181.97	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $602.56 / $1,621.81	Facility		$38.90	$602.56	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $302.00	Professional		$125.89	$199.53	$302.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $194.98 / $338.84	Facility		$117.49	$194.98	$338.84
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 $251.19 / $977.24 / $1,479.11	Facility		$251.19	$977.24	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $281.84	Professional		$117.49	$144.54	$281.84