Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $219.83 / $9,727.00	Facility		$64.95	$219.83	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.48 / $82.31 / $128.66	Professional		$51.48	$82.31	$128.66
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 $49.61 / $78.84 / $119.17	Professional		$49.61	$78.84	$119.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.17 / $100.98 / $178.51	Professional		$61.17	$100.98	$178.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $109.47 / $174.63	Facility		$64.95	$109.47	$174.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.12 / $48.12 / $48.12	Professional		$48.12	$48.12	$48.12
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 $76.95 / $114.76 / $223.98	Professional		$76.95	$114.76	$223.98