Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.19 / $1,152.20 / $3,139.75	Facility		$143.19	$1,152.20	$3,139.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.19 / $143.19 / $205.53	Professional		$143.19	$143.19	$205.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $408.58 / $408.58 / $408.58	Facility		$408.58	$408.58	$408.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,909.78 / $2,170.19 / $2,604.23	Professional		$1,909.78	$2,170.19	$2,604.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Facility		$143.26	$143.26	$143.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Professional		$143.26	$143.26	$143.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.82 / $656.08 / $2,170.19	Facility		$121.82	$656.08	$2,170.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,170.19 / $2,170.19 / $2,170.19	Professional		$2,170.19	$2,170.19	$2,170.19