Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.04 / $106.14 / $480.25	Facility		$41.04	$106.14	$480.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $89.97 / $139.31	Professional		$31.25	$89.97	$139.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $324.92 / $663.18 / $1,045.57	Facility		$324.92	$663.18	$1,045.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.69 / $89.59 / $184.62	Professional		$33.69	$89.59	$184.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $100.00 / $105.77	Facility		$58.82	$100.00	$105.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.02 / $109.81 / $201.93	Professional		$46.02	$109.81	$201.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.04 / $106.14 / $213.52	Facility		$41.04	$106.14	$213.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.11 / $109.11 / $109.11	Professional		$109.11	$109.11	$109.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $111.83 / $172.70	Professional		$82.31	$111.83	$172.70
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 $78.81 / $123.23 / $228.31	Professional		$78.81	$123.23	$228.31