Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.06 / $4,862.00 / $16,467.00	Facility		$343.06	$4,862.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.06 / $359.30 / $988.59	Professional		$343.06	$359.30	$988.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,086.06 / $7,662.19 / $12,599.84	Facility		$4,086.06	$7,662.19	$12,599.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.29 / $434.29 / $890.00	Facility		$434.29	$434.29	$890.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,808.56 / $1,808.56 / $1,808.56	Professional		$1,808.56	$1,808.56	$1,808.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $343.06 / $357.21 / $725.90	Facility		$343.06	$357.21	$725.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
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 $315.27 / $430.95 / $1,046.70	Professional		$315.27	$430.95	$1,046.70