Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $112.20	Facility		$34.67	$34.67	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $57.54 / $131.83	Professional		$28.84	$57.54	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $478.63 / $912.01	Facility		$269.15	$478.63	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $67.61 / $144.54	Professional		$27.54	$67.61	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $63.10 / $138.04	Professional		$32.36	$63.10	$138.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $74.13 / $165.96	Facility		$32.36	$74.13	$165.96
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 $1,584.89 / $1,819.70 / $2,398.83	Facility		$1,584.89	$1,819.70	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $53.70 / $112.20	Professional		$30.20	$53.70	$112.20