Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $117.00 / $711.36	Facility		$105.00	$117.00	$711.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $117.00 / $120.00	Professional		$117.00	$117.00	$120.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $923.46 / $923.46 / $986.88	Facility		$923.46	$923.46	$986.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $157.50 / $207.00	Professional		$150.00	$157.50	$207.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.61 / $369.53 / $855.27	Facility		$272.61	$369.53	$855.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $87.75 / $87.75	Professional		$87.75	$87.75	$87.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $150.00 / $181.50	Facility		$117.00	$150.00	$181.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $82.50 / $82.50	Professional		$82.50	$82.50	$82.50
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $82.50 / $136.59	Professional		$63.00	$82.50	$136.59