Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $309.03 / $10,964.78	Facility		$75.86	$309.03	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $125.89	Professional		$72.44	$72.44	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $173.78 / $316.23	Facility		$81.28	$173.78	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $109.65	Professional		$77.62	$93.33	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $72.44 / $177.83	Facility		$69.18	$72.44	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $77.62	Professional		$72.44	$72.44	$77.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $100.00 / $177.83	Facility		$72.44	$100.00	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $181.97 / $223.87	Professional		$30.20	$181.97	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $117.49 / $154.88	Facility		$72.44	$117.49	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $125.89	Professional		$66.07	$77.62	$125.89