Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $3,776.00 / $9,727.00	Facility		$64.95	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.51 / $64.95 / $75.23	Professional		$50.51	$64.95	$75.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $65.01 / $104.18	Professional		$49.44	$65.01	$104.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $78.91 / $149.37	Professional		$58.47	$78.91	$149.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.82 / $102.90 / $611.00	Facility		$61.82	$102.90	$611.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.04 / $213.04 / $213.04	Professional		$213.04	$213.04	$213.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $71.34 / $107.12	Professional		$52.98	$71.34	$107.12
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,221.00 / $3,585.00	Facility		$358.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $83.89 / $152.27	Professional		$57.92	$83.89	$152.27