Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $1,047.13	Facility		$45.71	$45.71	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $660.69 / $870.96	Professional		$28.18	$660.69	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,737.80	Facility		$870.96	$1,023.29	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $912.01 / $1,202.26	Professional		$31.62	$912.01	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $741.31 / $1,348.96	Facility		$33.11	$741.31	$1,348.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
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 $5,011.87 / $5,011.87 / $6,606.93	Facility		$5,011.87	$5,011.87	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $524.81 / $954.99	Professional		$22.91	$524.81	$954.99