Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.26 / $477.93 / $9,727.00	Facility		$132.26	$477.93	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.35 / $172.53 / $238.22	Professional		$102.35	$172.53	$238.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.37 / $758.30 / $1,346.70	Facility		$402.37	$758.30	$1,346.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $118.33 / $195.20	Professional		$81.00	$118.33	$195.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.94 / $157.94 / $202.96	Facility		$157.94	$157.94	$202.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.83 / $195.77 / $354.37	Professional		$111.83	$195.77	$354.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $116.86 / $208.28 / $326.30	Facility		$116.86	$208.28	$326.30
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $253.59 / $342.00 / $489.45	Facility	50	$253.59	$342.00	$489.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $139.74 / $141.36 / $172.60	Professional		$139.74	$141.36	$172.60
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $212.04 / $212.04 / $258.89	Professional	50	$212.04	$212.04	$258.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.20 / $167.68 / $257.09	Professional		$122.20	$167.68	$257.09
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 $171.53 / $236.84 / $425.04	Professional		$171.53	$236.84	$425.04