Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,062.00 / $9,062.00 / $9,062.00	Facility		$9,062.00	$9,062.00	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.59 / $53.37 / $76.11	Professional		$14.59	$53.37	$76.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.29 / $162.18 / $387.80	Facility		$131.29	$162.18	$387.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.25 / $74.88 / $90.11	Professional		$20.25	$74.88	$90.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $375.00 / $570.00	Facility		$29.04	$375.00	$570.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $74.09 / $74.09	Professional		$74.09	$74.09	$74.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.51 / $39.65 / $97.40	Facility		$17.51	$39.65	$97.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $39.00 / $55.39	Professional		$33.36	$39.00	$55.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $111.78 / $172.70	Professional		$82.31	$111.78	$172.70
United Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $73.08 / $157.10	Professional		$40.54	$73.08	$157.10