Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.12 / $272.44 / $16,467.00	Facility		$104.12	$272.44	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $135.35 / $243.27	Professional		$88.13	$135.35	$243.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.40 / $244.24 / $436.66	Facility		$114.40	$244.24	$436.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.07 / $164.00 / $223.38	Professional		$89.07	$164.00	$223.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.69 / $186.69 / $186.69	Facility		$186.69	$186.69	$186.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.85 / $147.69 / $245.06	Professional		$96.85	$147.69	$245.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.16 / $163.35 / $228.95	Facility		$93.16	$163.35	$228.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $194.25 / $194.25	Professional		$194.25	$194.25	$194.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.82 / $194.79 / $268.41	Professional		$156.82	$194.79	$268.41
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 $97.08 / $171.17 / $248.44	Professional		$97.08	$171.17	$248.44