Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $9,062.00 / $20,498.00	Facility		$367.50	$9,062.00	$20,498.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $367.50 / $367.50	Professional		$367.50	$367.50	$367.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,709.21 / $5,405.49 / $9,383.48	Facility		$2,709.21	$5,405.49	$9,383.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,604.11 / $1,604.11 / $1,604.11	Facility		$1,604.11	$1,604.11	$1,604.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $159.00 / $257.12	Professional		$150.00	$159.00	$257.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $367.50 / $496.13	Facility		$367.50	$367.50	$496.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,397.41 / $1,397.41 / $1,397.41	Professional		$1,397.41	$1,397.41	$1,397.41
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 $1,346.36 / $6,172.00 / $9,900.00	Facility		$1,346.36	$6,172.00	$9,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,405.00 / $1,405.00 / $1,405.00	Professional		$1,405.00	$1,405.00	$1,405.00