Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $4,897.79 / $16,595.87	Facility		$251.19	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $380.19	Professional		$165.96	$213.80	$380.19
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 $128.82 / $186.21 / $269.15	Professional		$128.82	$186.21	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $323.59	Facility		$100.00	$100.00	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $426.58	Professional		$194.98	$257.04	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $501.19	Professional		$302.00	$302.00	$501.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $257.04 / $446.68	Facility		$186.21	$257.04	$446.68
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 $154.88 / $208.93 / $338.84	Professional		$154.88	$208.93	$338.84