Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.33 / $357.33 / $22,830.00	Facility		$357.33	$357.33	$22,830.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.68 / $357.33 / $357.33	Professional		$337.68	$357.33	$357.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.79 / $22,159.73 / $57,726.04	Facility		$276.79	$22,159.73	$57,726.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $403.07 / $469.64	Professional		$340.31	$403.07	$469.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.05 / $340.31 / $340.31	Facility		$321.05	$340.31	$340.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $340.31	Professional		$340.31	$340.31	$340.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $340.31 / $357.33 / $847.04	Facility		$340.31	$357.33	$847.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $357.33 / $20,805.00 / $20,805.00	Professional		$357.33	$20,805.00	$20,805.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $272.02 / $279.05 / $476.06	Professional		$272.02	$279.05	$476.06
United Facility/Professional Professional Modifier Low / Median / High Price $136.12 / $340.31 / $340.31	Professional		$136.12	$340.31	$340.31