Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.44 / $55.44 / $55.44	Facility		$55.44	$55.44	$55.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.44 / $55.44 / $60.09	Professional		$55.44	$55.44	$60.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $519.58 / $991.43 / $2,283.59	Facility		$519.58	$991.43	$2,283.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $62.10 / $85.70	Professional		$55.00	$62.10	$85.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.25 / $4,066.76 / $6,564.41	Facility		$282.25	$4,066.76	$6,564.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.59 / $90.95 / $160.77	Professional		$55.59	$90.95	$160.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.70 / $75.00 / $245.82	Facility		$56.70	$75.00	$245.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,066.15 / $1,066.15 / $1,066.15	Professional		$1,066.15	$1,066.15	$1,066.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.91 / $64.49 / $87.39	Professional		$50.91	$64.49	$87.39
United Facility/Professional Professional Modifier Low / Median / High Price $65.37 / $82.69 / $135.61	Professional		$65.37	$82.69	$135.61