Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $4,897.79 / $16,595.87	Facility		$323.59	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $288.40 / $831.76	Professional		$114.82	$288.40	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,862.09 / $3,715.35	Facility		$707.95	$1,862.09	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $316.23 / $630.96	Professional		$107.15	$316.23	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $416.87 / $1,023.29	Facility		$199.53	$416.87	$1,023.29
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	52	$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $275.42 / $1,096.48	Professional		$138.04	$275.42	$1,096.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $263.03	Professional		$229.09	$229.09	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $245.47 / $870.96	Facility		$128.82	$245.47	$870.96
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 $109.65 / $234.42 / $630.96	Professional		$109.65	$234.42	$630.96