Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.93 / $3,554.25 / $3,554.25	Facility		$120.93	$3,554.25	$3,554.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.03 / $128.69 / $342.88	Professional		$114.03	$128.69	$342.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,792.88 / $4,550.16 / $11,027.71	Facility		$1,792.88	$4,550.16	$11,027.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.11 / $546.00 / $854.41	Professional		$134.11	$546.00	$854.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.81 / $9,804.91 / $15,826.73	Facility		$487.81	$9,804.91	$15,826.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.13 / $256.69 / $676.00	Professional		$159.13	$256.69	$676.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $137.84 / $461.40 / $864.00	Facility		$137.84	$461.40	$864.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $532.04 / $532.04 / $532.04	Professional		$532.04	$532.04	$532.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $94.29 / $166.86	Professional		$44.14	$94.29	$166.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,861.66 / $2,861.66 / $3,455.61	Facility		$2,861.66	$2,861.66	$3,455.61
United Facility/Professional Professional Modifier Low / Median / High Price $148.62 / $208.78 / $573.67	Professional		$148.62	$208.78	$573.67