Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.77 / $788.18 / $9,062.00	Facility		$136.77	$788.18	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.64 / $182.71 / $330.57	Professional		$110.64	$182.71	$330.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.24 / $358.99 / $577.35	Facility		$186.24	$358.99	$577.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $135.80 / $208.56	Professional		$93.00	$135.80	$208.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.81 / $156.81 / $201.50	Facility		$156.81	$156.81	$201.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.64 / $202.59 / $361.56	Professional		$124.64	$202.59	$361.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.73 / $214.34 / $334.97	Facility		$120.73	$214.34	$334.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.17 / $138.72 / $211.17	Professional		$77.17	$138.72	$211.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.30 / $190.04 / $307.31	Professional		$122.30	$190.04	$307.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $3,866.00 / $6,584.00	Facility		$1,106.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.04 / $230.53 / $439.56	Professional		$171.04	$230.53	$439.56