Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $4,897.79 / $16,595.87	Facility		$407.38	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $323.59 / $512.86	Professional		$165.96	$323.59	$512.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $8,128.31	Facility		$2,570.40	$4,570.88	$8,128.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $416.87	Professional		$141.25	$218.78	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $316.23 / $562.34	Professional		$177.83	$316.23	$562.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $331.13 / $549.54	Facility		$169.82	$331.13	$549.54
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 $1,096.48 / $3,890.45 / $7,943.28	Facility		$1,096.48	$3,890.45	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $269.15 / $457.09	Professional		$154.88	$269.15	$457.09