Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.75 / $192.75 / $1,305.80	Facility		$192.75	$192.75	$1,305.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.28 / $220.28 / $220.28	Professional		$220.28	$220.28	$220.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.35 / $289.12 / $379.98	Professional		$275.35	$289.12	$379.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.43 / $678.33 / $1,570.01	Facility		$500.43	$678.33	$1,570.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $214.77 / $275.35 / $330.42	Facility		$214.77	$275.35	$330.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.65 / $165.21 / $250.74	Professional		$115.65	$165.21	$250.74