Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.28 / $592.24 / $9,727.00	Facility		$131.28	$592.24	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.86 / $174.56 / $285.45	Professional		$116.86	$174.56	$285.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.55 / $405.05 / $626.27	Facility		$209.55	$405.05	$626.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.16 / $205.00 / $268.82	Professional		$117.16	$205.00	$268.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $170.71 / $247.71	Professional		$124.50	$170.71	$247.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $116.86 / $181.71 / $253.84	Facility		$116.86	$181.71	$253.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.94 / $162.87 / $231.82	Professional		$120.94	$162.87	$231.82
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 $134.88 / $178.41 / $312.22	Professional		$134.88	$178.41	$312.22