Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.39 / $303.97 / $16,467.00	Facility		$121.39	$303.97	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.63 / $153.30 / $265.44	Professional		$109.63	$153.30	$265.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.13 / $352.63 / $536.66	Facility		$173.13	$352.63	$536.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $103.67 / $178.07	Professional		$50.00	$103.67	$178.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.74 / $141.74 / $141.74	Facility		$141.74	$141.74	$141.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.37 / $157.58 / $212.86	Professional		$113.37	$157.58	$212.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.35 / $159.72 / $226.19	Facility		$104.35	$159.72	$226.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $135.85 / $135.85 / $135.85	Professional		$135.85	$135.85	$135.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.36 / $163.28 / $225.56	Professional		$131.36	$163.28	$225.56
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.89 / $151.55 / $257.33	Professional		$122.89	$151.55	$257.33