Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.88 / $261.49 / $16,467.00	Facility		$110.88	$261.49	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.35 / $125.43 / $240.27	Professional		$100.35	$125.43	$240.27
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 $94.22 / $133.80 / $182.97	Professional		$94.22	$133.80	$182.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.99 / $127.99 / $127.99	Facility		$127.99	$127.99	$127.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.73 / $137.44 / $187.34	Professional		$100.73	$137.44	$187.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.08 / $145.88 / $206.84	Facility		$100.08	$145.88	$206.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $122.76 / $122.76 / $122.76	Professional		$122.76	$122.76	$122.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.90 / $131.76 / $180.41	Professional		$105.90	$131.76	$180.41
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 $104.34 / $137.80 / $241.15	Professional		$104.34	$137.80	$241.15