Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.36 / $287.67 / $16,467.00	Facility		$125.36	$287.67	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.10 / $122.66 / $168.16	Professional		$105.10	$122.66	$168.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.85 / $160.00 / $245.02	Professional		$97.85	$160.00	$245.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $535.00 / $570.00	Facility		$100.00	$535.00	$570.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.36 / $146.19 / $270.32	Professional		$110.36	$146.19	$270.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $110.90 / $140.00 / $223.73	Facility		$110.90	$140.00	$223.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $137.87 / $140.00 / $280.77	Professional		$137.87	$140.00	$280.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.19 / $149.71 / $237.35	Professional		$110.19	$149.71	$237.35
United Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $6,074.00 / $8,818.00	Facility		$454.00	$6,074.00	$8,818.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.92 / $127.34 / $248.13	Professional		$92.92	$127.34	$248.13