Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $4,897.79 / $16,595.87	Facility		$275.42	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $199.53	Professional		$93.33	$109.65	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $5,011.87 / $9,332.54	Facility		$691.83	$5,011.87	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $239.88	Professional		$97.72	$125.89	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $426.58 / $1,778.28	Facility		$177.83	$426.58	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $147.91 / $309.03	Professional		$87.10	$147.91	$309.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $123.03	Professional		$109.65	$109.65	$123.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $134.90 / $229.09	Facility		$93.33	$134.90	$229.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
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 $933.25 / $10,232.93 / $16,982.44	Facility		$933.25	$10,232.93	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $194.98	Professional		$83.18	$109.65	$194.98