Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.75 / $166.38 / $9,727.00	Facility		$47.75	$166.38	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $71.93 / $106.62	Professional		$37.89	$71.93	$106.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.47 / $502.41 / $824.96	Facility		$240.47	$502.41	$824.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $67.00 / $119.17	Professional		$36.14	$67.00	$119.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.33 / $54.33 / $69.81	Facility		$54.33	$54.33	$69.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.08 / $75.20 / $153.50	Professional		$45.08	$75.20	$153.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.75 / $79.08 / $119.76	Facility		$47.75	$79.08	$119.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $48.06 / $72.01	Professional		$35.81	$48.06	$72.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $75.30 / $118.77	Professional		$54.90	$75.30	$118.77
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.81 / $90.43 / $162.30	Professional		$59.81	$90.43	$162.30