Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.69 / $620.69 / $1,268.25	Facility		$620.69	$620.69	$1,268.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $25.46 / $31.65	Professional		$21.23	$25.46	$31.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.42 / $1,795.59 / $3,481.99	Facility		$1,500.42	$1,795.59	$3,481.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $33.83 / $33.83	Professional		$33.83	$33.83	$33.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $27.96 / $42.50	Facility		$21.27	$27.96	$42.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $27.96 / $28.44	Professional		$27.96	$27.96	$28.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $3,000.00 / $3,000.00	Professional		$55.00	$3,000.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $51.58 / $69.01	Professional		$26.00	$51.58	$69.01