Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $4,897.79 / $16,595.87	Facility		$218.78	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $194.98	Professional		$75.86	$89.13	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $134.90 / $218.78	Professional		$72.44	$134.90	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $213.80	Professional		$87.10	$123.03	$213.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $138.04 / $199.53	Facility		$85.11	$138.04	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,760.83 / $9,120.11	Facility		$2,454.71	$6,760.83	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $177.83	Professional		$75.86	$102.33	$177.83