Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.90 / $294.54 / $9,062.00	Facility		$123.90	$294.54	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.76 / $120.99 / $196.64	Professional		$82.76	$120.99	$196.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.15 / $382.30 / $600.69	Facility		$190.15	$382.30	$600.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.19 / $113.90 / $165.57	Professional		$78.19	$113.90	$165.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.54 / $83.54 / $107.36	Facility		$83.54	$83.54	$107.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.13 / $143.08 / $242.12	Professional		$92.13	$143.08	$242.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.07 / $145.77 / $207.74	Facility		$93.07	$145.77	$207.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $73.91 / $108.59	Professional		$58.56	$73.91	$108.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.81 / $150.60 / $237.54	Professional		$109.81	$150.60	$237.54
United Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $1,138.00 / $2,922.00	Facility		$384.00	$1,138.00	$2,922.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $170.07 / $328.97	Professional		$107.70	$170.07	$328.97