Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $371.54 / $6,165.95	Facility		$91.20	$371.54	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $186.21	Professional		$85.11	$87.10	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,818.38 / $5,495.41	Facility		$537.03	$2,818.38	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $257.04	Professional		$120.23	$204.17	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $87.10 / $186.21	Facility		$81.28	$87.10	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $93.33	Professional		$87.10	$87.10	$93.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $954.99 / $1,548.82	Professional		$588.84	$954.99	$1,548.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $186.21 / $1,778.28	Facility		$87.10	$186.21	$1,778.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $218.78 / $239.88	Professional		$30.20	$218.78	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $158.49 / $186.21	Facility		$87.10	$158.49	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $165.96	Professional		$77.62	$91.20	$165.96