Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,888.44 / $16,595.87	Facility		$3,801.89	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $50.12	Professional		$20.89	$25.70	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $46.77 / $63.10	Professional		$31.62	$46.77	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $213.80	Facility		$165.96	$165.96	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $213.80	Professional		$30.20	$50.12	$213.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $38.90 / $79.43	Facility		$22.39	$38.90	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,202.26 / $3,548.13	Facility		$380.19	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $58.88	Professional		$20.89	$30.20	$58.88