Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.54 / $687.93 / $9,062.00	Facility		$31.54	$687.93	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $58.67 / $96.43	Professional		$31.30	$58.67	$96.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.23 / $239.81 / $428.10	Facility		$118.23	$239.81	$428.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $41.00 / $85.15	Professional		$26.64	$41.00	$85.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.18 / $104.18 / $104.18	Facility		$104.18	$104.18	$104.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $60.58 / $108.81	Professional		$34.11	$60.58	$108.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.49 / $66.00 / $106.07	Facility		$29.49	$66.00	$106.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.67 / $109.67 / $109.67	Professional		$109.67	$109.67	$109.67
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $164.51 / $164.51 / $164.51	Professional	50	$164.51	$164.51	$164.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $97.39 / $134.20	Professional		$78.41	$97.39	$134.20
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $76.18 / $135.24	Professional		$58.36	$76.18	$135.24