Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $30.90	Professional		$16.98	$19.95	$30.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $660.69 / $1,148.15	Facility		$380.19	$660.69	$1,148.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $37.15 / $53.70	Professional		$16.98	$37.15	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $489.78	Facility		$30.20	$30.20	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.88 / $60.26	Professional		$20.42	$33.88	$60.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $47.86	Professional		$46.77	$46.77	$47.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $28.18 / $51.29	Facility		$18.20	$28.18	$51.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
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 $16.22 / $26.92 / $46.77	Professional		$16.22	$26.92	$46.77