Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.72 / $847.70 / $7,799.00	Facility		$167.72	$847.70	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $167.71 / $494.45	Professional		$76.34	$167.71	$494.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.50 / $1,573.08 / $2,611.09	Facility		$691.50	$1,573.08	$2,611.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.79 / $110.09 / $169.81	Professional		$69.79	$110.09	$169.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.41 / $128.41 / $165.01	Facility		$128.41	$128.41	$165.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $149.87 / $294.10	Professional		$80.23	$149.87	$294.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $82.09 / $159.29 / $263.66	Facility		$82.09	$159.29	$263.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.51 / $113.60 / $180.06	Professional		$92.51	$113.60	$180.06
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 $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.08 / $188.54 / $338.36	Professional		$126.08	$188.54	$338.36