Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $4,897.79 / $16,595.87	Facility		$323.59	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $281.84	Professional		$104.71	$134.90	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $389.05 / $776.25	Facility		$208.93	$389.05	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $380.19 / $645.65	Professional		$123.03	$380.19	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $575.44	Facility		$223.87	$223.87	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $295.12	Professional		$138.04	$165.96	$295.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $162.18 / $269.15	Facility		$123.03	$162.18	$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 $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 $104.71 / $131.83 / $213.80	Professional		$104.71	$131.83	$213.80