Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $4,897.79 / $16,595.87	Facility		$302.00	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $501.19	Professional		$208.93	$281.84	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $707.95 / $1,318.26	Facility		$416.87	$707.95	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $416.87	Professional		$190.55	$257.04	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $537.03	Professional		$190.55	$275.42	$537.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $295.12 / $524.81	Facility		$223.87	$295.12	$524.81
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 $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 $177.83 / $239.88 / $380.19	Professional		$177.83	$239.88	$380.19