Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.83 / $417.93 / $9,062.00	Facility		$137.83	$417.93	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.61 / $157.02 / $296.17	Professional		$109.61	$157.02	$296.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,004.37 / $3,722.47 / $6,683.59	Facility		$1,004.37	$3,722.47	$6,683.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.68 / $143.68 / $220.83	Professional		$109.68	$143.68	$220.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.41 / $163.94 / $570.00	Facility		$113.41	$163.94	$570.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.10 / $181.13 / $328.68	Professional		$121.10	$181.13	$328.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.00 / $187.00 / $287.27	Facility		$121.00	$187.00	$287.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $123.46 / $392.04	Professional		$65.00	$123.46	$392.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.25 / $129.09 / $200.46	Professional		$92.25	$129.09	$200.46
United Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $3,072.00 / $6,584.00	Facility		$454.00	$3,072.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $176.03 / $336.47	Professional		$130.38	$176.03	$336.47