Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.15 / $1,085.00 / $5,621.00	Facility		$141.15	$1,085.00	$5,621.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.29 / $127.92 / $264.23	Professional		$49.29	$127.92	$264.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $137.91 / $263.62	Professional		$45.62	$137.91	$263.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $180.80 / $396.35	Professional		$62.60	$180.80	$396.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.47 / $204.45 / $365.26	Facility		$54.47	$204.45	$365.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.14 / $187.03 / $285.87	Professional		$137.14	$187.03	$285.87
United Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $1,138.00 / $2,922.00	Facility		$384.00	$1,138.00	$2,922.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.25 / $256.89 / $483.59	Professional		$185.25	$256.89	$483.59