Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.52 / $349.50 / $16,467.00	Facility		$148.52	$349.50	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.78 / $157.15 / $412.02	Professional		$126.78	$157.15	$412.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $367.85 / $725.99 / $1,277.49	Facility		$367.85	$725.99	$1,277.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.50 / $179.00 / $300.10	Professional		$120.50	$179.00	$300.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.61 / $78.61 / $101.01	Facility		$78.61	$78.61	$101.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.53 / $193.82 / $270.26	Professional		$149.53	$193.82	$270.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.88 / $187.74 / $315.57	Facility		$140.88	$187.74	$315.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.54 / $70.12 / $98.21	Professional		$69.54	$70.12	$98.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.25 / $188.80 / $301.43	Professional		$140.25	$188.80	$301.43
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 $146.47 / $205.45 / $368.73	Professional		$146.47	$205.45	$368.73