Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.56 / $9,062.00 / $16,467.00	Facility		$287.56	$9,062.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.56 / $287.56 / $287.56	Professional		$287.56	$287.56	$287.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $752.65 / $1,355.95 / $2,307.73	Facility		$752.65	$1,355.95	$2,307.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $800.30 / $800.30 / $800.30	Facility		$800.30	$800.30	$800.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $287.56 / $316.32 / $417.22	Facility		$287.56	$316.32	$417.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $647.45 / $647.45 / $647.45	Professional		$647.45	$647.45	$647.45
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 Facility Modifier Low / Median / High Price $1,106.00 / $3,866.00 / $6,584.00	Facility		$1,106.00	$3,866.00	$6,584.00