Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $4,897.79 / $16,595.87	Facility		$213.80	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $269.15	Professional		$102.33	$162.18	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,318.26 / $3,019.95	Facility		$707.95	$1,318.26	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $251.19	Professional		$109.65	$162.18	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $257.04	Professional		$112.20	$177.83	$257.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $181.97 / $263.03	Facility		$117.49	$181.97	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
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 $97.72 / $154.88 / $269.15	Professional		$97.72	$154.88	$269.15