Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $4,897.79 / $16,595.87	Facility		$478.63	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $380.19 / $588.84	Professional		$204.17	$380.19	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,380.38 / $2,818.38	Facility		$575.44	$1,380.38	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $380.19 / $524.81	Professional		$190.55	$380.19	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $426.58 / $794.33	Facility		$354.81	$426.58	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $426.58 / $870.96	Professional		$234.42	$426.58	$870.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $660.69	Professional		$602.56	$602.56	$660.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $436.52 / $794.33	Facility		$229.09	$436.52	$794.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
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 $194.98 / $363.08 / $691.83	Professional		$194.98	$363.08	$691.83