Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $4,897.79 / $16,595.87	Facility		$295.12	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $208.93	Professional		$97.72	$117.49	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,905.46 / $3,630.78	Facility		$691.83	$1,905.46	$3,630.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $229.09	Professional		$93.33	$154.88	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $426.58 / $831.76	Facility		$177.83	$426.58	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $316.23	Professional		$109.65	$154.88	$316.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $186.21	Professional		$181.97	$181.97	$186.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $154.88 / $239.88	Facility		$107.15	$154.88	$239.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
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 / $6,165.95 / $10,000.00	Facility		$616.60	$6,165.95	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $218.78	Professional		$91.20	$123.03	$218.78