Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.68 / $157.66 / $16,467.00	Facility		$63.68	$157.66	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $89.38 / $182.84	Professional		$56.94	$89.38	$182.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $385.98 / $729.49 / $1,279.19	Facility		$385.98	$729.49	$1,279.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.04 / $97.00 / $170.56	Professional		$53.04	$97.00	$170.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.09 / $60.09 / $77.22	Facility		$60.09	$60.09	$77.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.14 / $101.44 / $176.57	Professional		$66.14	$101.44	$176.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.68 / $110.14 / $161.94	Facility		$63.68	$110.14	$161.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.49 / $53.16 / $78.03	Professional		$48.49	$53.16	$78.03
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 $82.12 / $120.35 / $239.49	Professional		$82.12	$120.35	$239.49