Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $4,897.79 / $16,595.87	Facility		$199.53	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $199.53 / $389.05	Professional		$70.79	$199.53	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,819.70 / $3,715.35	Facility		$707.95	$1,819.70	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $229.09 / $302.00	Professional		$67.61	$229.09	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $426.58 / $794.33	Facility		$123.03	$426.58	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $223.87 / $446.68	Professional		$89.13	$223.87	$446.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $389.05	Professional		$316.23	$316.23	$389.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $223.87 / $426.58	Facility		$85.11	$223.87	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
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 $69.18 / $177.83 / $363.08	Professional		$69.18	$177.83	$363.08