Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.64 / $432.77 / $9,062.00	Facility		$124.64	$432.77	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.56 / $148.19 / $208.94	Professional		$103.56	$148.19	$208.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,371.90 / $4,157.74 / $6,811.41	Facility		$2,371.90	$4,157.74	$6,811.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.78 / $134.72 / $198.81	Professional		$99.78	$134.72	$198.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.56 / $179.86 / $425.00	Facility		$107.56	$179.86	$425.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.22 / $177.56 / $332.66	Professional		$117.22	$177.56	$332.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $182.97 / $281.52	Facility		$117.00	$182.97	$281.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.05 / $129.41 / $395.52	Professional		$107.05	$129.41	$395.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.11 / $129.09 / $200.46	Professional		$92.11	$129.09	$200.46
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,138.00 / $3,585.00	Facility		$100.00	$1,138.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.08 / $181.93 / $375.49	Professional		$131.08	$181.93	$375.49