Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $168.67 / $16,467.00	Facility		$69.56	$168.67	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.79 / $142.69 / $250.54	Professional		$60.79	$142.69	$250.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,272.80 / $4,190.50 / $6,811.41	Facility		$2,272.80	$4,190.50	$6,811.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $104.87 / $159.75	Professional		$59.87	$104.87	$159.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $173.48	Facility		$135.00	$135.00	$173.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.41 / $141.28 / $280.55	Professional		$70.41	$141.28	$280.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $145.78 / $255.02	Facility		$69.56	$145.78	$255.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $119.44 / $127.56 / $187.15	Professional		$119.44	$127.56	$187.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.03 / $150.93 / $230.16	Professional		$118.03	$150.93	$230.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,090.25 / $5,871.00 / $8,667.00	Facility		$1,090.25	$5,871.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.59 / $183.07 / $328.55	Professional		$125.59	$183.07	$328.55