Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,001.25 / $6,595.15 / $17,525.41	Facility		$3,001.25	$6,595.15	$17,525.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.00 / $6,845.81 / $6,845.81	Professional		$595.00	$6,845.81	$6,845.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.13 / $285.87 / $460.52	Facility		$151.13	$285.87	$460.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $535.00 / $570.00	Facility		$100.00	$535.00	$570.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $113.00 / $161.69	Professional		$113.00	$113.00	$161.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,138.00 / $3,585.00	Facility		$100.00	$1,138.00	$3,585.00