Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $9,450.00 / $18,276.00	Facility		$216.90	$9,450.00	$18,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.88 / $226.36 / $293.27	Professional		$203.88	$226.36	$293.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,813.47 / $3,813.47 / $5,084.63	Facility		$3,813.47	$3,813.47	$5,084.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.10 / $309.10 / $309.10	Professional		$309.10	$309.10	$309.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $219.09 / $268.95	Facility		$216.90	$219.09	$268.95
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 $2,666.00 / $16,223.00 / $23,485.00	Facility		$2,666.00	$16,223.00	$23,485.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.27 / $249.74 / $434.52	Professional		$217.27	$249.74	$434.52