Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.63 / $88.63 / $88.63	Facility		$88.63	$88.63	$88.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.66 / $92.13 / $111.18	Professional		$72.66	$92.13	$111.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $908.55 / $1,781.01 / $3,716.03	Facility		$908.55	$1,781.01	$3,716.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $100.95 / $160.01	Professional		$91.00	$100.95	$160.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.02 / $1,925.97 / $3,108.83	Facility		$346.02	$1,925.97	$3,108.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.35 / $137.91 / $259.58	Professional		$83.35	$137.91	$259.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $92.00 / $120.00 / $309.36	Facility		$92.00	$120.00	$309.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $386.25 / $386.25 / $386.25	Professional		$386.25	$386.25	$386.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $80.55 / $129.73	Professional		$44.14	$80.55	$129.73
United Facility/Professional Facility Modifier Low / Median / High Price $541.62 / $541.62 / $671.06	Facility		$541.62	$541.62	$671.06
United Facility/Professional Professional Modifier Low / Median / High Price $100.77 / $133.52 / $230.83	Professional		$100.77	$133.52	$230.83