Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.37 / $4,862.00 / $16,467.00	Facility		$85.37	$4,862.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.37 / $89.15 / $149.50	Professional		$85.37	$89.15	$149.50
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 $55.15 / $90.66 / $109.10	Professional		$55.15	$90.66	$109.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.95 / $108.95 / $890.00	Facility		$108.95	$108.95	$890.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.71 / $453.71 / $453.71	Professional		$453.71	$453.71	$453.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $82.01 / $88.97 / $180.64	Facility		$82.01	$88.97	$180.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.33 / $117.86 / $117.86	Professional		$113.33	$117.86	$117.86
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 $74.34 / $99.05 / $216.63	Professional		$74.34	$99.05	$216.63