Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.40 / $1,039.15 / $13,013.83	Facility		$167.40	$1,039.15	$13,013.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $226.96 / $510.08	Professional		$142.50	$226.96	$510.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,768.56 / $4,468.18 / $7,881.56	Facility		$1,768.56	$4,468.18	$7,881.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.66 / $206.25 / $580.44	Professional		$135.66	$206.25	$580.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.28 / $152.28 / $195.68	Facility		$152.28	$152.28	$195.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.33 / $223.56 / $354.05	Professional		$159.33	$223.56	$354.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $167.40 / $227.24 / $393.68	Facility		$167.40	$227.24	$393.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $134.72 / $211.17	Professional		$102.94	$134.72	$211.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $195.65 / $264.12 / $411.11	Professional		$195.65	$264.12	$411.11
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 $188.66 / $288.54 / $502.42	Professional		$188.66	$288.54	$502.42