Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.54 / $196.54 / $54,926.00	Facility		$196.54	$196.54	$54,926.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.72 / $196.54 / $242.01	Professional		$158.72	$196.54	$242.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.43 / $184.20 / $269.06	Professional		$175.43	$184.20	$269.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.16 / $14,825.00 / $20,236.00	Facility		$46.16	$14,825.00	$20,236.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.62 / $328.48 / $466.95	Professional		$215.62	$328.48	$466.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.85 / $338.33 / $347.95	Facility		$190.85	$338.33	$347.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $342.29 / $342.29 / $342.29	Professional		$342.29	$342.29	$342.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $152.93 / $261.89	Professional		$32.58	$152.93	$261.89
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,221.00 / $5,123.00	Facility		$358.00	$1,221.00	$5,123.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.45 / $249.35 / $459.34	Professional		$164.45	$249.35	$459.34