Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $4,897.79 / $16,595.87	Facility		$239.88	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $346.74	Professional		$123.03	$190.55	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $154.88 / $269.15	Facility		$87.10	$154.88	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $251.19	Professional		$117.49	$165.96	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $371.54 / $616.60	Facility		$34.67	$371.54	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $467.74	Professional		$134.90	$213.80	$467.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $263.03	Professional		$239.88	$239.88	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $213.80 / $363.08	Facility		$134.90	$213.80	$363.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
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 $199.53 / $1,174.90 / $2,951.21	Facility		$199.53	$1,174.90	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $295.12	Professional		$114.82	$181.97	$295.12