Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $4,897.79 / $16,595.87	Facility		$173.78	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $138.04 / $245.47	Professional		$58.88	$138.04	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $104.71 / $194.98	Professional		$53.70	$104.71	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $138.04 / $269.15	Professional		$67.61	$138.04	$269.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $158.49 / $338.84	Facility		$66.07	$158.49	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,202.26 / $3,548.13	Facility		$380.19	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $134.90 / $257.04	Professional		$63.10	$134.90	$257.04