Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $208.93	Professional		$87.10	$114.82	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $457.09 / $1,000.00	Facility		$234.42	$457.09	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $229.09	Professional		$112.20	$128.82	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $245.47 / $537.03	Facility		$38.90	$245.47	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $194.98	Professional		$87.10	$114.82	$194.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $131.83 / $234.42	Facility		$95.50	$131.83	$234.42
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 $109.65 / $436.52 / $660.69	Facility		$109.65	$436.52	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $165.96 / $323.59	Professional		$93.33	$165.96	$323.59