Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.15 / $220.92 / $16,467.00	Facility		$96.15	$220.92	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $96.15 / $129.52	Professional		$80.95	$96.15	$129.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.66 / $102.00 / $179.35	Professional		$75.66	$102.00	$179.35
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 $86.08 / $115.11 / $208.58	Professional		$86.08	$115.11	$208.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.84 / $106.76 / $164.69	Facility		$81.84	$106.76	$164.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.54 / $106.76 / $215.54	Professional		$104.54	$106.76	$215.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $113.57 / $178.53	Professional		$82.40	$113.57	$178.53
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 $71.31 / $98.18 / $198.48	Professional		$71.31	$98.18	$198.48