Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.54 / $4,862.00 / $16,467.00	Facility		$87.54	$4,862.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.01 / $87.54 / $143.84	Professional		$87.01	$87.54	$143.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.24 / $655.82 / $1,012.83	Facility		$338.24	$655.82	$1,012.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.49 / $89.27 / $107.43	Professional		$54.49	$89.27	$107.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.83 / $104.83 / $890.00	Facility		$104.83	$104.83	$890.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.55 / $436.55 / $436.55	Professional		$436.55	$436.55	$436.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $87.54 / $185.23	Facility		$80.45	$87.54	$185.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.59 / $116.05 / $116.05	Professional		$111.59	$116.05	$116.05
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 $74.77 / $99.05 / $180.13	Professional		$74.77	$99.05	$180.13