Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $4,897.79 / $16,595.87	Facility		$104.71	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $89.13 / $181.97	Professional		$77.62	$89.13	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,715.35 / $6,606.93	Facility		$2,137.96	$3,715.35	$6,606.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $165.96	Professional		$75.86	$102.33	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $147.91	Professional		$87.10	$109.65	$147.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $102.33 / $141.25	Facility		$85.11	$102.33	$141.25
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 $380.19 / $1,202.26 / $3,548.13	Facility		$380.19	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $162.18	Professional		$72.44	$91.20	$162.18