Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $125.89	Professional		$64.57	$77.62	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $691.83 / $1,479.11	Facility		$354.81	$691.83	$1,479.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $177.83	Professional		$77.62	$112.20	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $346.74 / $1,202.26	Facility		$53.70	$346.74	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $173.78	Professional		$74.13	$107.15	$173.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $117.49 / $199.53	Facility		$70.79	$117.49	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,000.00 / $1,513.56	Facility		$229.09	$1,000.00	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $162.18	Professional		$72.44	$100.00	$162.18