Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $4,897.79 / $16,595.87	Facility		$199.53	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $309.03	Professional		$128.82	$190.55	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $588.84 / $1,122.02	Facility		$309.03	$588.84	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $151.36 / $269.15	Professional		$93.33	$151.36	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $371.54	Facility		$263.03	$263.03	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $346.74	Professional		$141.25	$218.78	$346.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $199.53 / $363.08	Facility		$125.89	$199.53	$363.08
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 $117.49 / $173.78 / $302.00	Professional		$117.49	$173.78	$302.00