Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $4,897.79 / $16,595.87	Facility		$316.23	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $223.87	Professional		$107.15	$125.89	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $5,754.40 / $10,715.19	Facility		$691.83	$5,754.40	$10,715.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $154.88	Professional		$104.71	$114.82	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $562.34 / $5,370.32	Facility		$199.53	$562.34	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $346.74	Professional		$109.65	$158.49	$346.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $162.18	Professional		$138.04	$138.04	$162.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $154.88 / $257.04	Facility		$112.20	$154.88	$257.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
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 $1,230.27 / $12,589.25 / $23,988.33	Facility		$1,230.27	$12,589.25	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $223.87	Professional		$95.50	$128.82	$223.87