Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.56 / $374.00 / $16,467.00	Facility		$159.56	$374.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.18 / $201.50 / $269.94	Professional		$138.18	$201.50	$269.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $615.26 / $1,093.77 / $1,761.66	Facility		$615.26	$1,093.77	$1,761.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $167.64 / $291.25	Professional		$121.00	$167.64	$291.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.23 / $243.10 / $580.00	Facility		$242.23	$243.10	$580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.41 / $235.42 / $393.19	Professional		$154.41	$235.42	$393.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $145.41 / $231.64 / $390.96	Facility		$145.41	$231.64	$390.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $243.36 / $243.36 / $243.36	Professional		$243.36	$243.36	$243.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.39 / $223.86 / $355.46	Professional		$155.39	$223.86	$355.46
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $3,866.00 / $6,584.00	Facility		$490.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.98 / $223.76 / $494.08	Professional		$174.98	$223.76	$494.08