Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $4,897.79 / $16,595.87	Facility		$870.96	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $575.44	Professional		$295.12	$354.81	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,122.02 / $1,905.46	Facility		$602.56	$1,122.02	$1,905.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $338.84 / $446.68	Professional		$302.00	$338.84	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $562.34 / $1,288.25	Facility		$371.54	$562.34	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $933.25	Professional		$281.84	$426.58	$933.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $457.09	Professional		$407.38	$407.38	$457.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $436.52 / $707.95	Facility		$323.59	$436.52	$707.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
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 $263.03 / $346.74 / $616.60	Professional		$263.03	$346.74	$616.60