Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $19,054.61	Facility		$138.04	$138.04	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $173.78	Professional		$100.00	$131.83	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $125.89 / $151.36	Professional		$117.49	$125.89	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $302.00 / $302.00	Professional		$147.91	$302.00	$302.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $158.49 / $263.03	Facility		$117.49	$158.49	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $190.55	Professional		$83.18	$120.23	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $125.89 / $173.78	Professional		$109.65	$125.89	$173.78