Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.45 / $191.45 / $191.45	Facility		$191.45	$191.45	$191.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.68 / $191.45 / $203.60	Professional		$154.68	$191.45	$203.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.41 / $522.24 / $1,030.83	Facility		$271.41	$522.24	$1,030.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $153.43 / $290.76	Professional		$108.00	$153.43	$290.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.69 / $752.99 / $1,215.45	Facility		$229.69	$752.99	$1,215.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.53 / $106.67 / $181.86	Professional		$79.53	$106.67	$181.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.38 / $185.79 / $453.81	Facility		$109.38	$185.79	$453.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $187.72 / $187.72 / $832.49	Professional		$187.72	$187.72	$832.49
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 $78.39 / $251.66 / $489.60	Professional		$78.39	$251.66	$489.60