Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.71 / $128.49 / $16,467.00	Facility		$56.71	$128.49	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.51 / $61.09 / $87.93	Professional		$43.51	$61.09	$87.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.13 / $361.86 / $723.85	Facility		$173.13	$361.86	$723.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.23 / $75.40 / $99.83	Professional		$48.23	$75.40	$99.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.81 / $78.81 / $78.81	Facility		$78.81	$78.81	$78.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $71.87 / $106.81	Professional		$50.17	$71.87	$106.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.92 / $86.00 / $115.70	Facility		$50.92	$86.00	$115.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $75.83 / $75.83	Professional		$75.83	$75.83	$75.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $65.88 / $90.20	Professional		$52.95	$65.88	$90.20
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 $57.09 / $75.13 / $132.07	Professional		$57.09	$75.13	$132.07