Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.57 / $78.09 / $264.17	Facility		$28.57	$78.09	$264.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.96 / $52.62 / $93.42	Professional		$25.96	$52.62	$93.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.58 / $365.09 / $600.69	Facility		$187.58	$365.09	$600.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $51.10 / $79.98	Professional		$23.63	$51.10	$79.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $59.08 / $104.28	Professional		$33.60	$59.08	$104.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $60.70 / $96.03	Facility		$28.84	$60.70	$96.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $27.23 / $27.23	Professional		$27.23	$27.23	$27.23
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 $46.17 / $72.25 / $126.73	Professional		$46.17	$72.25	$126.73