Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.06 / $767.06 / $16,467.00	Facility		$387.06	$767.06	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.64 / $276.64 / $442.64	Professional		$276.64	$276.64	$442.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.70 / $509.00 / $742.78	Professional		$258.70	$509.00	$742.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.85 / $401.07 / $644.19	Professional		$319.85	$401.07	$644.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $288.23 / $445.12 / $670.84	Facility		$288.23	$445.12	$670.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $241.01 / $303.93 / $462.28	Professional		$241.01	$303.93	$462.28
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,107.00 / $8,818.00	Facility		$659.00	$6,107.00	$8,818.00
United Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $413.46 / $734.19	Professional		$277.02	$413.46	$734.19