Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.68 / $95.68 / $95.68	Facility		$95.68	$95.68	$95.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.68 / $100.27 / $111.82	Professional		$95.68	$100.27	$111.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,777.03 / $1,777.03 / $1,777.03	Facility		$1,777.03	$1,777.03	$1,777.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.86 / $330.00 / $466.40	Professional		$118.86	$330.00	$466.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.11 / $204.11 / $2,091.61	Facility		$130.11	$204.11	$2,091.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.94 / $164.41 / $307.61	Professional		$115.94	$164.41	$307.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.68 / $179.65 / $432.00	Facility		$95.68	$179.65	$432.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $103.21 / $300.00 / $432.00	Professional		$103.21	$300.00	$432.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $40.43 / $63.07	Professional		$32.34	$40.43	$63.07
United Facility/Professional Professional Modifier Low / Median / High Price $209.22 / $265.81 / $431.36	Professional		$209.22	$265.81	$431.36