Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.75 / $650.64 / $9,727.00	Facility		$146.75	$650.64	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.29 / $192.96 / $339.47	Professional		$112.29	$192.96	$339.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.77 / $529.80 / $874.70	Facility		$288.77	$529.80	$874.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $126.31 / $299.75	Professional		$95.00	$126.31	$299.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.77 / $261.77 / $261.77	Facility		$261.77	$261.77	$261.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.43 / $250.00 / $467.53	Professional		$117.43	$250.00	$467.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.15 / $259.00 / $435.04	Facility		$109.15	$259.00	$435.04
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 $30.34 / $191.94 / $272.37	Professional		$30.34	$191.94	$272.37
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 $205.98 / $265.62 / $415.51	Professional		$205.98	$265.62	$415.51