Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.31 / $49.31 / $49.31	Facility		$49.31	$49.31	$49.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $49.31 / $56.74	Professional		$39.40	$49.31	$56.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $481.78 / $1,162.46 / $2,731.90	Facility		$481.78	$1,162.46	$2,731.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.66 / $224.00 / $357.98	Professional		$54.66	$224.00	$357.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.01 / $1,118.96 / $1,795.77	Facility		$276.01	$1,118.96	$1,795.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $133.60 / $308.39	Professional		$61.99	$133.60	$308.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.77 / $213.00 / $354.00	Facility		$55.77	$213.00	$354.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $212.78 / $212.78 / $212.78	Professional		$212.78	$212.78	$212.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $38.81 / $57.09	Professional		$32.34	$38.81	$57.09
United Facility/Professional Professional Modifier Low / Median / High Price $58.97 / $91.60 / $262.55	Professional		$58.97	$91.60	$262.55