Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,888.44 / $16,595.87	Facility		$3,801.89	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $169.82	Professional		$95.50	$125.89	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $851.14 / $1,621.81	Facility		$562.34	$851.14	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $2,290.87	Professional		$109.65	$162.18	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $512.86	Facility		$398.11	$398.11	$512.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $151.36 / $1,905.46	Facility		$109.65	$151.36	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,890.45 / $7,762.47	Facility		$1,122.02	$3,890.45	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $302.00	Professional		$138.04	$181.97	$302.00