Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $4,897.79 / $16,595.87	Facility		$338.84	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $588.84	Professional		$234.42	$316.23	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $371.54 / $676.08	Facility		$213.80	$371.54	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $407.38	Professional		$239.88	$295.12	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $208.93 / $446.68	Facility		$100.00	$208.93	$446.68
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	54	$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $602.56	Professional		$239.88	$346.74	$602.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $676.08	Professional		$398.11	$398.11	$676.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $338.84 / $616.60	Facility		$263.03	$338.84	$616.60
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 $354.81 / $1,202.26 / $3,548.13	Facility		$354.81	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $436.52	Professional		$208.93	$269.15	$436.52