Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.50 / $3,776.00 / $9,727.00	Facility		$11.50	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $24.05 / $53.08	Professional		$12.02	$24.05	$53.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.40 / $232.17 / $387.80	Facility		$114.40	$232.17	$387.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $21.52 / $43.00	Professional		$15.00	$21.52	$43.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $36.01 / $50.60	Professional		$20.07	$36.01	$50.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $31.46 / $53.72	Facility		$12.65	$31.46	$53.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $32.24 / $43.69	Professional		$25.45	$32.24	$43.69
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 $24.00 / $34.24 / $64.58	Professional		$24.00	$34.24	$64.58