Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.95 / $332.25 / $9,727.00	Facility		$118.95	$332.25	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.54 / $122.52 / $196.03	Professional		$95.54	$122.52	$196.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.29 / $280.37 / $434.25	Facility		$144.29	$280.37	$434.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.45 / $122.00 / $216.59	Professional		$90.45	$122.00	$216.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.80 / $63.80 / $81.98	Facility		$63.80	$63.80	$81.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $160.37 / $263.08	Professional		$113.82	$160.37	$263.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $168.29 / $236.32	Facility		$114.47	$168.29	$236.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.44 / $56.44 / $81.84	Professional		$50.44	$56.44	$81.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.81 / $150.60 / $237.54	Professional		$109.81	$150.60	$237.54
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,221.00 / $3,585.00	Facility		$358.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.41 / $169.13 / $329.30	Professional		$119.41	$169.13	$329.30