Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $75.86 / $107.15	Professional		$66.07	$75.86	$107.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $389.05	Professional		$173.78	$275.42	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,445.44 / $1,445.44	Facility		$204.17	$1,445.44	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $204.17	Professional		$77.62	$112.20	$204.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $97.72 / $208.93	Facility		$64.57	$97.72	$208.93
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 Professional Modifier Low / Median / High Price $128.82 / $204.17 / $354.81	Professional		$128.82	$204.17	$354.81