Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.75 / $636.65 / $9,062.00	Facility		$85.75	$636.65	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $175.53 / $273.22	Professional		$72.84	$175.53	$273.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.41 / $760.23 / $1,268.71	Facility		$392.41	$760.23	$1,268.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $133.93 / $243.43	Professional		$66.34	$133.93	$243.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.36 / $217.36 / $217.36	Facility		$217.36	$217.36	$217.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.83 / $180.37 / $318.20	Professional		$79.83	$180.37	$318.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.08 / $186.34 / $301.70	Facility		$77.08	$186.34	$301.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.41 / $213.41 / $213.41	Professional		$213.41	$213.41	$213.41
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $320.12 / $320.12 / $320.12	Professional	50	$320.12	$320.12	$320.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.42 / $171.42 / $219.89	Professional		$131.42	$171.42	$219.89
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 $159.78 / $194.40 / $361.35	Professional		$159.78	$194.40	$361.35