Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.77 / $67.77 / $67.77	Facility		$67.77	$67.77	$67.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $67.77 / $72.93	Professional		$55.22	$67.77	$72.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,448.64 / $1,448.64 / $1,448.64	Facility		$1,448.64	$1,448.64	$1,448.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $242.80 / $376.35	Professional		$180.00	$242.80	$376.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.11 / $204.11 / $1,417.27	Facility		$204.11	$204.11	$1,417.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $114.26 / $204.95	Professional		$79.84	$114.26	$204.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.77 / $160.13 / $238.82	Facility		$67.77	$160.13	$238.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $298.19 / $298.19 / $298.19	Professional		$298.19	$298.19	$298.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $38.81 / $57.09	Professional		$32.34	$38.81	$57.09
United Facility/Professional Professional Modifier Low / Median / High Price $134.91 / $209.88 / $414.02	Professional		$134.91	$209.88	$414.02