Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $288.40	Professional		$154.88	$204.17	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $446.68 / $1,000.00	Facility		$234.42	$446.68	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $213.80 / $302.00	Professional		$104.71	$213.80	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $323.59 / $1,202.26	Facility		$50.12	$323.59	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $162.18	Professional		$79.43	$102.33	$162.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $190.55 / $331.13	Facility		$79.43	$190.55	$331.13
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 $229.09 / $1,000.00 / $1,513.56	Facility		$229.09	$1,000.00	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $245.47 / $436.52	Professional		$81.28	$245.47	$436.52