Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.04 / $345.60 / $9,062.00	Facility		$76.04	$345.60	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.70 / $121.72 / $209.06	Professional		$61.70	$121.72	$209.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $733.02 / $1,364.39 / $2,270.56	Facility		$733.02	$1,364.39	$2,270.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $163.35 / $248.00	Professional		$62.31	$163.35	$248.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.65 / $161.60 / $570.00	Facility		$138.65	$161.60	$570.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $157.75 / $320.31	Professional		$74.92	$157.75	$320.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.04 / $170.56 / $265.56	Facility		$76.04	$170.56	$265.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $103.68 / $138.00 / $369.85	Professional		$103.68	$138.00	$369.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.14 / $185.53 / $282.32	Professional		$137.14	$185.53	$282.32
United Facility/Professional Facility Modifier Low / Median / High Price $586.00 / $6,172.00 / $8,667.00	Facility		$586.00	$6,172.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.69 / $163.19 / $345.82	Professional		$118.69	$163.19	$345.82