Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.06 / $193.42 / $16,467.00	Facility		$79.06	$193.42	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $96.83 / $181.66	Professional		$71.18	$96.83	$181.66
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 $67.08 / $100.15 / $136.96	Professional		$67.08	$100.15	$136.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.49 / $100.49 / $100.49	Facility		$100.49	$100.49	$100.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.17 / $99.84 / $141.15	Professional		$70.17	$99.84	$141.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.31 / $115.00 / $153.41	Facility		$71.31	$115.00	$153.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $96.57 / $96.57 / $96.57	Professional		$96.57	$96.57	$96.57
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 $83.10 / $102.24 / $168.70	Professional		$83.10	$102.24	$168.70