Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.84 / $175.76 / $16,467.00	Facility		$77.84	$175.76	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $101.99 / $170.46	Professional		$64.78	$101.99	$170.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $671.77 / $671.77 / $671.77	Facility		$671.77	$671.77	$671.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.55 / $104.40 / $152.97	Professional		$62.55	$104.40	$152.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $375.00 / $375.00	Facility		$375.00	$375.00	$375.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.68 / $127.36 / $269.64	Professional		$72.68	$127.36	$269.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.70 / $142.09 / $335.18	Facility		$72.70	$142.09	$335.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $467.84 / $467.84 / $467.84	Professional		$467.84	$467.84	$467.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.95 / $140.97 / $212.45	Professional		$103.95	$140.97	$212.45
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 $107.54 / $158.26 / $285.10	Professional		$107.54	$158.26	$285.10