Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.82 / $367.15 / $9,062.00	Facility		$216.82	$367.15	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.37 / $234.53 / $402.15	Professional		$132.37	$234.53	$402.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,376.01 / $2,945.52 / $5,289.80	Facility		$1,376.01	$2,945.52	$5,289.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $175.91 / $316.79	Professional		$99.00	$175.91	$316.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.99 / $314.69 / $570.00	Facility		$269.99	$314.69	$570.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $266.08 / $597.53	Professional		$140.13	$266.08	$597.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $142.78 / $245.37 / $479.05	Facility		$142.78	$245.37	$479.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $227.00 / $751.61	Professional		$63.00	$227.00	$751.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $243.06 / $415.27	Professional		$31.82	$243.06	$415.27
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 $202.73 / $291.16 / $591.07	Professional		$202.73	$291.16	$591.07