Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.78 / $4,862.00 / $16,467.00	Facility		$110.78	$4,862.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.78 / $110.78 / $126.98	Professional		$110.78	$110.78	$126.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.81 / $933.34 / $1,581.71	Facility		$438.81	$933.34	$1,581.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.98 / $401.98 / $516.54	Facility		$401.98	$401.98	$516.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $110.78 / $119.45 / $234.85	Facility		$110.78	$119.45	$234.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $469.37 / $469.37 / $469.37	Professional		$469.37	$469.37	$469.37
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 $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.33 / $212.00 / $380.46	Professional		$141.33	$212.00	$380.46