Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $4,897.79 / $16,595.87	Facility		$83.18	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $109.65 / $309.03	Professional		$28.18	$109.65	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $562.34 / $1,047.13	Facility		$331.13	$562.34	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $154.88	Professional		$26.92	$38.90	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $575.44	Facility		$51.29	$51.29	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $131.83 / $239.88	Professional		$37.15	$131.83	$239.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $302.00	Professional		$234.42	$234.42	$302.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $107.15 / $229.09	Facility		$30.90	$107.15	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,230.27 / $3,548.13	Facility		$354.81	$1,230.27	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $91.20 / $199.53	Professional		$27.54	$91.20	$199.53