Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.03 / $253.96 / $16,467.00	Facility		$110.03	$253.96	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.24 / $123.92 / $198.27	Professional		$89.24	$123.92	$198.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $672.66 / $1,287.34 / $2,183.02	Facility		$672.66	$1,287.34	$2,183.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.12 / $143.52 / $227.66	Professional		$84.12	$143.52	$227.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.82 / $422.82 / $543.34	Facility		$422.82	$422.82	$543.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.89 / $173.75 / $287.93	Professional		$111.89	$173.75	$287.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $110.03 / $172.33 / $233.45	Facility		$110.03	$172.33	$233.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $253.68 / $374.09 / $441.00	Professional		$253.68	$374.09	$441.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.81 / $150.60 / $237.54	Professional		$109.81	$150.60	$237.54
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.86 / $172.10 / $329.62	Professional		$119.86	$172.10	$329.62