Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $212.24 / $9,062.00	Facility		$40.95	$212.24	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $147.46 / $250.46	Professional		$80.09	$147.46	$250.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.13 / $263.95 / $434.25	Facility		$144.13	$263.95	$434.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $81.48 / $159.44	Professional		$38.00	$81.48	$159.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.41 / $108.41 / $139.30	Facility		$108.41	$108.41	$139.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.50 / $161.44 / $297.30	Professional		$92.50	$161.44	$297.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.30 / $180.03 / $240.69	Facility		$93.30	$180.03	$240.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.44 / $95.91 / $113.89	Professional		$50.44	$95.91	$113.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $149.65 / $230.16	Professional		$109.73	$149.65	$230.16
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 $124.97 / $201.50 / $372.88	Professional		$124.97	$201.50	$372.88