Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.43 / $254.08 / $4,862.00	Facility		$76.43	$254.08	$4,862.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $41.65 / $78.59	Professional		$17.03	$41.65	$78.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.31 / $221.92 / $368.90	Facility		$93.31	$221.92	$368.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $20.56 / $66.06	Professional		$14.48	$20.56	$66.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $40.47 / $84.41	Professional		$18.47	$40.47	$84.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $40.00 / $84.07	Facility		$15.93	$40.00	$84.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.91 / $64.49 / $87.39	Professional		$50.91	$64.49	$87.39
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 $41.25 / $55.18 / $95.46	Professional		$41.25	$55.18	$95.46