Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.19 / $488.25 / $1,064.39	Facility		$91.19	$488.25	$1,064.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $91.19 / $115.48	Professional		$75.37	$91.19	$115.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.61 / $782.18 / $1,559.85	Facility		$400.61	$782.18	$1,559.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $131.00 / $175.23	Professional		$88.22	$131.00	$175.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.88 / $1,112.51 / $1,795.77	Facility		$329.88	$1,112.51	$1,795.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.38 / $129.53 / $236.91	Professional		$91.38	$129.53	$236.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.57 / $155.02 / $265.20	Facility		$99.57	$155.02	$265.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $407.12 / $407.12 / $407.12	Professional		$407.12	$407.12	$407.12
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 Facility Modifier Low / Median / High Price $368.12 / $368.12 / $368.12	Facility		$368.12	$368.12	$368.12
United Facility/Professional Professional Modifier Low / Median / High Price $84.35 / $122.34 / $206.64	Professional		$84.35	$122.34	$206.64