Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.29 / $4,230.00 / $9,870.00	Facility		$112.29	$4,230.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.51 / $193.48 / $220.90	Professional		$108.51	$193.48	$220.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.17 / $160.36 / $264.11	Facility		$87.17	$160.36	$264.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.37 / $180.00 / $316.49	Professional		$102.37	$180.00	$316.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $173.49 / $173.49	Professional		$173.49	$173.49	$173.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.29 / $237.42 / $364.94	Facility		$112.29	$237.42	$364.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.63 / $224.56 / $348.93	Professional		$164.63	$224.56	$348.93
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.41 / $300.52 / $576.79	Professional		$225.41	$300.52	$576.79