Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,621.81 / $2,041.74	Facility		$275.42	$1,621.81	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $275.42	Professional		$81.28	$114.82	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $389.05 / $660.69	Facility		$213.80	$389.05	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $398.11 / $446.68	Facility		$85.11	$398.11	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $269.15	Professional		$95.50	$128.82	$269.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $158.49 / $331.13	Facility		$100.00	$158.49	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $32.36	Professional		$30.20	$30.20	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $363.08 / $562.34	Facility		$81.28	$363.08	$562.34