Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.36 / $155.54 / $16,467.00	Facility		$71.36	$155.54	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.09 / $108.15 / $155.54	Professional		$57.09	$108.15	$155.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,004.37 / $1,932.98 / $3,078.72	Facility		$1,004.37	$1,932.98	$3,078.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.87 / $73.80 / $123.69	Professional		$55.87	$73.80	$123.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.95 / $97.95 / $125.86	Facility		$97.95	$97.95	$125.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.91 / $114.40 / $222.18	Professional		$63.91	$114.40	$222.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.33 / $126.58 / $198.49	Facility		$63.33	$126.58	$198.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $86.65 / $99.22 / $132.58	Professional		$86.65	$99.22	$132.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $112.28 / $174.46	Professional		$82.31	$112.28	$174.46
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 $97.55 / $145.21 / $261.51	Professional		$97.55	$145.21	$261.51