Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $4,897.79 / $16,595.87	Facility		$173.78	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $120.23 / $218.78	Professional		$61.66	$120.23	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,288.25 / $2,344.23	Facility		$741.31	$1,288.25	$2,344.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $177.83 / $234.42	Professional		$61.66	$177.83	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $151.36 / $562.34	Facility		$109.65	$151.36	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $165.96 / $338.84	Professional		$74.13	$165.96	$338.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $275.42	Professional		$251.19	$251.19	$275.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $162.18 / $295.12	Facility		$72.44	$162.18	$295.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
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 $60.26 / $128.82 / $239.88	Professional		$60.26	$128.82	$239.88