Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $4,897.79 / $16,595.87	Facility		$371.54	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $275.42	Professional		$114.82	$138.04	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $302.00	Professional		$112.20	$169.82	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $295.12	Professional		$138.04	$186.21	$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 $125.89 / $186.21 / $302.00	Facility		$125.89	$186.21	$302.00
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 $380.19 / $1,202.26 / $3,548.13	Facility		$380.19	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $275.42	Professional		$125.89	$158.49	$275.42