Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $4,862.00 / $16,467.00	Facility		$392.63	$4,862.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.71 / $392.63 / $2,400.00	Professional		$377.71	$392.63	$2,400.00
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 $363.66 / $366.36 / $471.16	Facility		$363.66	$366.36	$471.16
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 $310.73 / $382.40 / $885.26	Professional		$310.73	$382.40	$885.26