Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.46 / $136.46 / $136.46	Facility		$136.46	$136.46	$136.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.46 / $172.84 / $236.22	Professional		$136.46	$172.84	$236.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,497.89 / $1,497.89 / $1,497.89	Facility		$1,497.89	$1,497.89	$1,497.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.51 / $206.81 / $299.38	Professional		$111.51	$206.81	$299.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.09 / $242.30 / $399.67	Professional		$172.09	$242.30	$399.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $136.46 / $310.22 / $455.60	Facility		$136.46	$310.22	$455.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $706.74 / $706.74 / $706.74	Professional		$706.74	$706.74	$706.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $98.86 / $180.58	Professional		$44.14	$98.86	$180.58
United Facility/Professional Professional Modifier Low / Median / High Price $180.74 / $225.92 / $390.70	Professional		$180.74	$225.92	$390.70