Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $308.02 / $16,467.00	Facility		$132.90	$308.02	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.69 / $182.87 / $298.89	Professional		$108.69	$182.87	$298.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.17 / $160.36 / $264.11	Facility		$87.17	$160.36	$264.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $143.11 / $218.90	Professional		$94.00	$143.11	$218.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $207.50 / $365.05	Professional		$133.13	$207.50	$365.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.43 / $197.20 / $331.91	Facility		$123.43	$197.20	$331.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $30.53 / $30.53	Professional		$30.53	$30.53	$30.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.14 / $187.03 / $285.87	Professional		$137.14	$187.03	$285.87
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,607.00 / $8,667.00	Facility		$659.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.78 / $251.21 / $462.66	Professional		$181.78	$251.21	$462.66