Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $389.05	Professional		$208.93	$251.19	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $758.58 / $1,698.24	Facility		$407.38	$758.58	$1,698.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $331.13	Professional		$208.93	$245.47	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,071.52 / $2,041.74	Facility		$208.93	$1,071.52	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $616.60	Professional		$199.53	$331.13	$616.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $295.12 / $691.83	Facility		$208.93	$295.12	$691.83
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 $380.19 / $1,698.24 / $2,570.40	Facility		$380.19	$1,698.24	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $467.74	Professional		$239.88	$302.00	$467.74