Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $104.71 / $9,120.11	Facility		$28.18	$104.71	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $52.48 / $85.11	Professional		$15.85	$52.48	$85.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $181.97 / $338.84	Facility		$134.90	$181.97	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $63.10 / $89.13	Professional		$19.50	$63.10	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $371.54 / $616.60	Facility		$38.90	$371.54	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $75.86	Professional		$43.65	$60.26	$75.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $50.12 / $120.23	Facility		$18.62	$50.12	$120.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $194.98	Professional		$32.36	$33.11	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,288.25	Facility		$977.24	$977.24	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $44.67 / $93.33	Professional		$20.89	$44.67	$93.33