Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $4,897.79 / $16,595.87	Facility		$223.87	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $199.53 / $363.08	Professional		$79.43	$199.53	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,737.80 / $3,715.35	Facility		$691.83	$1,737.80	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $151.36 / $331.13	Professional		$81.28	$151.36	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $426.58 / $794.33	Facility		$144.54	$426.58	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $234.42 / $562.34	Professional		$93.33	$234.42	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $354.81	Professional		$338.84	$338.84	$354.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $218.78 / $489.78	Facility		$89.13	$218.78	$489.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
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 $74.13 / $190.55 / $363.08	Professional		$74.13	$190.55	$363.08