Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.69 / $869.55 / $9,062.00	Facility		$136.69	$869.55	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.61 / $113.20 / $177.69	Professional		$84.61	$113.20	$177.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.37 / $743.39 / $1,338.73	Facility		$402.37	$743.39	$1,338.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $97.15 / $152.97	Professional		$76.20	$97.15	$152.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.19 / $72.48 / $560.00	Facility		$62.19	$72.48	$560.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.76 / $134.58 / $262.14	Professional		$89.76	$134.58	$262.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $129.72 / $218.38	Facility		$90.00	$129.72	$218.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.90 / $92.88 / $314.42	Professional		$61.90	$92.88	$314.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $112.07 / $171.56	Professional		$82.31	$112.07	$171.56
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 $98.56 / $134.79 / $242.50	Professional		$98.56	$134.79	$242.50