Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $4,897.79 / $16,595.87	Facility		$194.98	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $194.98	Professional		$70.79	$125.89	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $436.52 / $831.76	Facility		$208.93	$436.52	$831.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $109.65 / $194.98	Professional		$64.57	$109.65	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $173.78	Facility		$134.90	$134.90	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $257.04	Professional		$83.18	$144.54	$257.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $158.49 / $288.40	Facility		$74.13	$158.49	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,202.26 / $3,548.13	Facility		$380.19	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $218.78	Professional		$70.79	$125.89	$218.78