Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $4,862.00 / $16,467.00	Facility		$163.24	$4,862.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $163.24 / $173.59	Professional		$20.00	$163.24	$173.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.19 / $851.18 / $1,442.48	Facility		$400.19	$851.18	$1,442.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.76 / $536.76 / $536.76	Facility		$536.76	$536.76	$536.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $160.75 / $161.94 / $195.89	Facility		$160.75	$161.94	$195.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $427.30 / $427.30 / $427.30	Professional		$427.30	$427.30	$427.30
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 $128.34 / $169.23 / $306.58	Professional		$128.34	$169.23	$306.58