Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.64 / $3,776.00 / $9,727.00	Facility		$51.64	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $116.06 / $243.28	Professional		$44.39	$116.06	$243.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.68 / $90.37 / $249.95	Professional		$42.68	$90.37	$249.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.77 / $185.85 / $389.30	Professional		$51.77	$185.85	$389.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.64 / $235.08 / $445.00	Facility		$51.64	$235.08	$445.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $792.08 / $792.08 / $792.08	Professional		$792.08	$792.08	$792.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.93 / $210.50 / $318.09	Professional		$154.93	$210.50	$318.09
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,221.00 / $3,585.00	Facility		$358.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.63 / $227.16 / $460.06	Professional		$151.63	$227.16	$460.06