Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $3,548.13 / $3,548.13	Facility		$120.23	$3,548.13	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $269.15	Professional		$120.23	$147.91	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,677.35 / $10,964.78	Facility		$1,737.80	$4,677.35	$10,964.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $309.03 / $812.83	Professional		$154.88	$309.03	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $724.44 / $15,848.93	Facility		$75.86	$724.44	$15,848.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $691.83	Professional		$141.25	$251.19	$691.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $257.04 / $794.33	Facility		$128.82	$257.04	$794.33
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 $2,884.03 / $13,182.57 / $20,417.38	Facility		$2,884.03	$13,182.57	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $602.56	Professional		$147.91	$251.19	$602.56