Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.95 / $4,862.00 / $16,467.00	Facility		$166.95	$4,862.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.95 / $175.03 / $292.82	Professional		$166.95	$175.03	$292.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $940.28 / $1,792.83 / $2,914.97	Facility		$940.28	$1,792.83	$2,914.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.36 / $177.71 / $213.86	Professional		$95.36	$177.71	$213.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.02 / $580.00 / $781.44	Facility		$213.02	$580.00	$781.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $888.71 / $888.71 / $888.71	Professional		$888.71	$888.71	$888.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.10 / $173.70 / $353.26	Facility		$161.10	$173.70	$353.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $671.62 / $671.62 / $671.62	Professional		$671.62	$671.62	$671.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $222.14 / $231.02 / $231.02	Professional		$222.14	$231.02	$231.02
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $3,866.00 / $6,584.00	Facility		$490.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.38 / $197.18 / $424.65	Professional		$150.38	$197.18	$424.65