Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.41 / $4,862.00 / $16,467.00	Facility		$145.41	$4,862.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.61 / $142.06 / $146.13	Professional		$119.61	$142.06	$146.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,371.90 / $4,190.50 / $6,979.46	Facility		$2,371.90	$4,190.50	$6,979.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $615.00 / $866.58	Facility		$375.00	$615.00	$866.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.84 / $163.63 / $318.68	Professional		$123.84	$163.63	$318.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.11 / $149.15 / $227.64	Facility		$121.11	$149.15	$227.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.55 / $740.04 / $1,107.11	Professional		$145.55	$740.04	$1,107.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $32.20 / $33.81	Professional		$25.76	$32.20	$33.81
United Facility/Professional Facility Modifier Low / Median / High Price $586.00 / $6,172.00 / $8,667.00	Facility		$586.00	$6,172.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.41 / $139.34 / $265.99	Professional		$104.41	$139.34	$265.99