Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $4,897.79 / $16,595.87	Facility		$102.33	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $128.82	Professional		$51.29	$81.28	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $251.19 / $446.68	Facility		$144.54	$251.19	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $83.18 / $120.23	Professional		$48.98	$83.18	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $165.96	Professional		$61.66	$100.00	$165.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $100.00 / $173.78	Facility		$54.95	$100.00	$173.78
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 $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 $52.48 / $83.18 / $151.36	Professional		$52.48	$83.18	$151.36