Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.50 / $69.50 / $69.50	Facility		$69.50	$69.50	$69.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.25 / $69.50 / $76.97	Professional		$56.25	$69.50	$76.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $401.81 / $768.37 / $1,535.36	Facility		$401.81	$768.37	$1,535.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $131.00 / $178.56	Professional		$73.45	$131.00	$178.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.83 / $752.99 / $1,215.45	Facility		$253.83	$752.99	$1,215.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $114.91 / $187.92	Professional		$76.59	$114.91	$187.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.97 / $141.88 / $218.00	Facility		$76.97	$141.88	$218.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.16 / $309.16 / $309.16	Professional		$309.16	$309.16	$309.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $80.55 / $129.73	Professional		$44.14	$80.55	$129.73
United Facility/Professional Professional Modifier Low / Median / High Price $72.61 / $99.18 / $158.41	Professional		$72.61	$99.18	$158.41