Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $6,025.60 / $16,595.87	Facility		$239.88	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $416.87	Professional		$151.36	$199.53	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,778.28 / $3,162.28	Facility		$870.96	$1,778.28	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $275.42	Professional		$154.88	$190.55	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $446.68 / $776.25	Facility		$288.40	$446.68	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $426.58	Professional		$154.88	$234.42	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $489.78	Professional		$245.47	$245.47	$489.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $234.42 / $416.87	Facility		$169.82	$234.42	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,230.27 / $3,548.13	Facility		$354.81	$1,230.27	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $295.12	Professional		$131.83	$186.21	$295.12