Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,997.38 / $6,283.52 / $23,637.28	Facility		$3,997.38	$6,283.52	$23,637.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $48.02 / $4,320.71	Professional		$45.44	$48.02	$4,320.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $108.42 / $143.37	Facility		$61.54	$108.42	$143.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $80.23 / $122.85	Professional		$47.55	$80.23	$122.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.89 / $47.55 / $48.57	Facility		$41.89	$47.55	$48.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $47.55	Professional		$47.55	$47.55	$47.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.55 / $90.67 / $108.81	Facility		$47.55	$90.67	$108.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $90.67 / $96.11	Professional		$30.90	$90.67	$96.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $43.93 / $104.60	Professional		$29.30	$43.93	$104.60
United Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $50.40 / $52.93	Professional		$40.42	$50.40	$52.93