Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $567.33 / $5,866.00	Facility		$168.00	$567.33	$5,866.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $159.55 / $291.10	Professional		$90.04	$159.55	$291.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.68 / $362.48 / $577.35	Facility		$181.68	$362.48	$577.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $101.87 / $231.49	Professional		$72.00	$101.87	$231.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.68 / $314.68 / $314.68	Facility		$314.68	$314.68	$314.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $174.46 / $307.81	Professional		$98.88	$174.46	$307.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.76 / $177.79 / $302.80	Facility		$95.76	$177.79	$302.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $343.21 / $343.21 / $343.21	Professional		$343.21	$343.21	$343.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $182.11 / $270.41	Professional		$29.53	$182.11	$270.41
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.56 / $198.23 / $327.08	Professional		$141.56	$198.23	$327.08