Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.03 / $2,838.15 / $9,841.49	Facility		$139.03	$2,838.15	$9,841.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.25 / $126.15 / $263.99	Professional		$58.25	$126.15	$263.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,472.59 / $3,824.09 / $6,758.10	Facility		$1,472.59	$3,824.09	$6,758.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.72 / $98.35 / $151.19	Professional		$56.72	$98.35	$151.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.30 / $117.30 / $375.00	Facility		$117.30	$117.30	$375.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $125.73 / $255.23	Professional		$68.45	$125.73	$255.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.15 / $139.04 / $226.75	Facility		$66.15	$139.04	$226.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $103.78 / $113.02 / $159.88	Professional		$103.78	$113.02	$159.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.03 / $150.93 / $230.16	Professional		$118.03	$150.93	$230.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,798.00 / $19,665.00	Facility		$2,155.00	$12,798.00	$19,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.59 / $167.44 / $310.20	Professional		$119.59	$167.44	$310.20