Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $50.36 / $144.86	Facility		$50.36	$50.36	$144.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $50.36 / $59.44	Professional		$39.51	$50.36	$59.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.99 / $233.57 / $452.17	Facility		$120.99	$233.57	$452.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.23 / $59.13 / $83.38	Professional		$55.23	$59.13	$83.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.12 / $1,605.15 / $2,757.04	Facility		$202.12	$1,605.15	$2,757.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $61.30 / $119.21	Professional		$44.81	$61.30	$119.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.54 / $72.00 / $145.91	Facility		$52.54	$72.00	$145.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $220.28 / $220.28 / $220.28	Professional		$220.28	$220.28	$220.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $34.77 / $51.41	Professional		$25.48	$34.77	$51.41
United Facility/Professional Facility Modifier Low / Median / High Price $482.89 / $482.89 / $482.89	Facility		$482.89	$482.89	$482.89
United Facility/Professional Professional Modifier Low / Median / High Price $40.45 / $61.29 / $106.38	Professional		$40.45	$61.29	$106.38