Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.37 / $138.37 / $138.37	Facility		$138.37	$138.37	$138.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.81 / $138.37 / $161.47	Professional		$111.81	$138.37	$161.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.16 / $1,132.45 / $2,863.60	Facility		$552.16	$1,132.45	$2,863.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $155.58 / $222.26	Professional		$142.00	$155.58	$222.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.10 / $2,329.65 / $3,972.70	Facility		$491.10	$2,329.65	$3,972.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.31 / $175.53 / $346.17	Professional		$122.31	$175.53	$346.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $179.00 / $398.92	Facility		$142.00	$179.00	$398.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $614.89 / $614.89 / $614.89	Professional		$614.89	$614.89	$614.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $127.90 / $208.91	Professional		$44.14	$127.90	$208.91
United Facility/Professional Professional Modifier Low / Median / High Price $124.92 / $179.22 / $309.14	Professional		$124.92	$179.22	$309.14