Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.37 / $296.13 / $9,727.00	Facility		$87.37	$296.13	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $126.96 / $196.07	Professional		$70.16	$126.96	$196.07
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 $66.50 / $110.40 / $164.01	Professional		$66.50	$110.40	$164.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.41 / $135.41 / $174.00	Facility		$135.41	$135.41	$174.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.46 / $143.26 / $286.75	Professional		$83.46	$143.26	$286.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.37 / $160.72 / $272.00	Facility		$87.37	$160.72	$272.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.78 / $119.80 / $185.52	Professional		$63.78	$119.80	$185.52
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 $112.06 / $190.50 / $385.25	Professional		$112.06	$190.50	$385.25