Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $4,897.79 / $16,595.87	Facility		$141.25	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $213.80	Professional		$81.28	$114.82	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,778.28 / $3,162.28	Facility		$1,000.00	$1,778.28	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $199.53	Professional		$81.28	$109.65	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $123.03 / $151.36	Facility		$100.00	$123.03	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $245.47	Professional		$97.72	$144.54	$245.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $275.42	Professional		$213.80	$213.80	$275.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $147.91 / $269.15	Facility		$93.33	$147.91	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $6,760.83 / $10,000.00	Facility		$1,479.11	$6,760.83	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $194.98	Professional		$75.86	$109.65	$194.98