Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.76 / $743.75 / $9,062.00	Facility		$168.76	$743.75	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.49 / $147.18 / $252.36	Professional		$102.49	$147.18	$252.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.50 / $401.10 / $670.85	Facility		$194.50	$401.10	$670.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.63 / $128.10 / $195.86	Professional		$102.63	$128.10	$195.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.57 / $174.57 / $174.57	Facility		$174.57	$174.57	$174.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $153.72 / $240.23	Professional		$115.51	$153.72	$240.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $153.00 / $212.56	Facility		$107.00	$153.00	$212.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $146.51 / $146.51 / $146.51	Professional		$146.51	$146.51	$146.51
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 $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 $118.82 / $146.68 / $285.22	Professional		$118.82	$146.68	$285.22