Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.09 / $395.22 / $9,062.00	Facility		$108.09	$395.22	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $140.22 / $208.10	Professional		$87.64	$140.22	$208.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $652.01 / $1,637.21 / $2,950.21	Facility		$652.01	$1,637.21	$2,950.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.30 / $137.69 / $189.30	Professional		$87.30	$137.69	$189.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.29 / $161.18 / $560.00	Facility		$138.29	$161.18	$560.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.21 / $162.60 / $336.66	Professional		$97.21	$162.60	$336.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $167.00 / $268.19	Facility		$103.00	$167.00	$268.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $137.63 / $387.40	Professional		$85.00	$137.63	$387.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $121.67 / $164.97 / $253.75	Professional		$121.67	$164.97	$253.75
United Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $3,682.00 / $6,584.00	Facility		$438.00	$3,682.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.29 / $167.52 / $319.92	Professional		$127.29	$167.52	$319.92