Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $4,897.79 / $16,595.87	Facility		$87.10	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $120.23	Professional		$56.23	$75.86	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,778.28 / $3,162.28	Facility		$933.25	$1,778.28	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $102.33	Professional		$53.70	$72.44	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $100.00 / $562.34	Facility		$53.70	$100.00	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $208.93	Professional		$60.26	$95.50	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $117.49	Professional		$112.20	$112.20	$117.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $91.20 / $151.36	Facility		$61.66	$91.20	$151.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
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 $616.60 / $6,309.57 / $10,000.00	Facility		$616.60	$6,309.57	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $77.62 / $138.04	Professional		$52.48	$77.62	$138.04