Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.93 / $95.93 / $95.93	Facility		$95.93	$95.93	$95.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.62 / $95.93 / $106.48	Professional		$75.62	$95.93	$106.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.43 / $527.69 / $1,124.07	Facility		$271.43	$527.69	$1,124.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.09 / $109.41 / $175.23	Professional		$101.09	$109.41	$175.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $433.30 / $752.99 / $1,215.45	Facility		$433.30	$752.99	$1,215.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $121.47 / $221.44	Professional		$87.57	$121.47	$221.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.26 / $137.83 / $270.41	Facility		$98.26	$137.83	$270.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $429.71 / $429.71 / $429.71	Professional		$429.71	$429.71	$429.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.46 / $104.33 / $154.23	Professional		$76.46	$104.33	$154.23
United Facility/Professional Facility Modifier Low / Median / High Price $230.13 / $230.13 / $230.13	Facility		$230.13	$230.13	$230.13
United Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $123.68 / $216.59	Professional		$84.81	$123.68	$216.59