Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.97 / $4,230.00 / $9,870.00	Facility		$51.97	$4,230.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $51.97 / $84.51	Professional		$45.60	$51.97	$84.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,795.61 / $4,464.22 / $7,881.56	Facility		$1,795.61	$4,464.22	$7,881.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $62.00 / $110.28	Professional		$44.33	$62.00	$110.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,130.29 / $2,130.29 / $2,737.46	Facility		$2,130.29	$2,130.29	$2,737.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.84 / $64.20 / $112.61	Professional		$48.84	$64.20	$112.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $62.36 / $108.17	Facility		$45.60	$62.36	$108.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $894.76 / $1,884.79 / $2,096.12	Professional		$894.76	$1,884.79	$2,096.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $75.30 / $118.77	Professional		$54.90	$75.30	$118.77
United Facility/Professional Facility Modifier Low / Median / High Price $791.00 / $10,257.00 / $16,249.00	Facility		$791.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $64.34 / $113.13	Professional		$44.17	$64.34	$113.13